E07.9 ICD-10-CM Code: Disorder of thyroid, unspecified
E07.9 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
HCC Buddy Code Card
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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Disorders of thyroid gland (E00-E07)
E07.9
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceDisorder of thyroid, unspecified
A thyroid disorder that has been identified but the specific type or cause has not yet been determined or documented.
Buddy Insight
Disorder of thyroid, unspecified represents the least specific thyroid diagnosis code and indicates that a thyroid abnormality exists but the specific nature has not been documented or determined.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
MappedHCC 44
Code-level coefficient reference
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for E07.9. Check the code and parent instructions in the Code Book.
Excludes 2
OfficialNo Excludes 2 notes are included in this display for E07.9. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for E07.9. Check the code and parent instructions in the Code Book.
Excludes 1
Official- transitory endocrine and metabolic disorders specific to newborn (P70-P74)Inherited from E00-E89
Code First
OfficialNo Code First sequencing instructions are included in this display for E07.9. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for E07.9. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for E07.9. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is E07.9 an HCC code?
E07.9 has no mapping under the current CMS-HCC V28 community payment model. E07.9 has a separate mapping under the Part D RxHCC model (HCC 44 (Thyroid Disorders)); the applicable result needs member context.
- Code
- E07.9
- Description
- Disorder of thyroid, unspecified
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work E07.9 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for E07.9
For E07.9, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
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What This Code Means
E07.9 is the ICD-10-CM diagnosis code for disorder of thyroid, unspecified. A thyroid disorder that has been identified but the specific type or cause has not yet been determined or documented. E07.9 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering disorders of thyroid gland (e00-e07).
E07.9 has no mapping under the current CMS-HCC V28 community payment model. E07.9 has a separate mapping under the Part D RxHCC model (HCC 44 (Thyroid Disorders)); the applicable result needs member context. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.
This is a placeholder code; work toward a more specific diagnosis with additional testing and documentation.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E07.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a placeholder code; work toward a more specific diagnosis with additional testing and documentation
- •Avoid using this code if any more specific thyroid disorder code applies
Clinical Significance
Disorder of thyroid, unspecified represents the least specific thyroid diagnosis code and indicates that a thyroid abnormality exists but the specific nature has not been documented or determined. This code lacks the clinical precision needed for effective treatment planning and should serve as a temporary placeholder during the diagnostic workup phase. Persistent use suggests incomplete documentation or evaluation.
Documentation Requirements
- ✓Document any clinical findings suggesting thyroid disease (examination findings, laboratory abnormalities, symptoms) and the plan for further diagnostic workup.
- ✓Record why a more specific diagnosis has not yet been established and the anticipated timeline for definitive diagnosis.