Definition:
CPT® 84439 describes the laboratory test used to measure thyroid stimulating hormone (TSH) levels in the blood. This test is commonly used to assess thyroid function, screen for hypothyroidism or hyperthyroidism, and monitor patients receiving thyroid therapy.
When to Use:
- For patients presenting with symptoms of thyroid dysfunction, such as fatigue, weight changes, or mood disturbances.
- To monitor treatment in patients taking thyroid hormone replacement or antithyroid medications.
- As part of routine screening or diagnostic panels for endocrine evaluation.
Documentation Requirements:
To support billing for CPT® 84439, clinicians should document:
- Medical necessity, including symptoms, risk factors, or ongoing therapy.
- Relevant patient history and previous lab results.
- Follow-up plans or treatment adjustments based on TSH results.
Key Notes:
- CPT® 84439 specifically reports TSH testing; other thyroid hormone levels (T3, T4) are billed separately.
- Proper documentation ensures payer compliance and supports accurate reimbursement.
How OptiMantra Supports 84439:
OptiMantra’s EMR and practice management platform allows providers to order TSH tests directly from the chart, capture clinical indications, and automatically integrate results into patient records. This streamlines documentation, supports clinical decision-making, and ensures clean, compliant claims for faster reimbursement.
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