ICD-10-CM 2027 diagnosis code
E05.91Thyrotoxicosis, unspecified with thyrotoxic crisis or storm
E05.91 is a valid, billable ICD-10-CM code for thyrotoxicosis, unspecified with thyrotoxic crisis or storm. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About E05.91
E05.91 is the ICD-10-CM diagnosis code for thyrotoxicosis, unspecified with thyrotoxic crisis or storm. It belongs to category E05 (thyrotoxicosis [hyperthyroidism]), block E00-E07 (disorders of thyroid gland) and chapter 4 (endocrine, nutritional and metabolic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within E05.9 (thyrotoxicosis, unspecified), E05.91 is specifically for thyrotoxicosis, unspecified with thyrotoxic crisis or storm. Related codes cover without thyrotoxic crisis or storm (E05.90).
As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC, relative weight 5.6154), DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC, relative weight 4.381), DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC, relative weight 2.7307), DRG 643 (Endocrine Disorders with MCC, relative weight 1.6139), DRG 644 (Endocrine Disorders with CC, relative weight 1.0044) and DRG 645 (Endocrine Disorders without CC/MCC, relative weight 0.7459), in Pre-MDC and MDC 10 (Endocrine, Nutritional and Metabolic Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 242.91 (thyrotoxicosis without mention of goiter or other cause, with mention of thyrotoxic crisis or storm).
Notes that apply from higher levels
Instructions written at a parent level also apply to E05.91.
Broader instructions also apply from Chapter 4: Endocrine, nutritional and metabolic diseases.
Alphabetic index entries
18 entriesTerms in the official ICD-10-CM index that lead to E05.91.
- Cardiomyopathy (familial) (idiopathic) › metabolic › thyrotoxic › with thyroid storm
- Cardiomyopathy (familial) (idiopathic) › thyrotoxic › with thyroid storm
- Chloasma (skin) (idiopathic) (symptomatic) › eyelid › hyperthyroid › with thyroid storm
- Disease, diseased › heart (organic) › hyperthyroid › with thyroid storm
- Disease, diseased › heart (organic) › thyrotoxic › with thyroid storm
- Disease, diseased › thyroid (gland) › heart › with thyroid storm
- Failure, failed › Note: heart failure stages A, B, C, and D are based on the American College of Cardiology and American Heart Association stages of heart failure, which complement and should not be confused with the New York Heart Association Classification of Heart Failure, into Class I, Class II, Class III, and Class IV › thyrotoxic › with › thyroid storm
- Hyperthyroidism (latent) (pre-adult) (recurrent) › with › storm
- Myasthenia › syndrome › in › thyrotoxicosis › with thyroid storm
- Myocardiopathy (congestive) (constrictive) (familial) (hypertrophic nonobstructive) (idiopathic) (infiltrative) (obstructive) (primary) (restrictive) (sporadic) › thyrotoxic › with storm
- Myopathy › in (due to) › thyrotoxicosis (hyperthyroidism) › with thyroid storm
- Myxedema (adult) (idiocy) (infantile) (juvenile) › circumscribed › with storm
- Myxedema (adult) (idiocy) (infantile) (juvenile) › localized (pretibial) › with storm
- Neuropathy, neuropathic › peripheral (nerve) › autonomic › in (due to) › hyperthyroidism › with thyroid storm
- Syndrome › myasthenic › in › thyrotoxicosis (hyperthyroidism) › with thyroid storm
- Thyrotoxic › heart disease or failure › with thyroid storm
- Thyrotoxicosis (recurrent) › with › thyroid storm
- Thyrotoxicosis (recurrent) › heart › with thyroid storm
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC PRE · Pre-MDC
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders
ICD-9-CM equivalent
Converter →- 242.91Thyrotoxicosis without mention of goiter or other cause, with mention of thyrotoxic crisis or stormexact
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about E05.91
Is E05.91 billable?
- Yes. E05.91 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can E05.91 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict E05.91 as a principal diagnosis.
Is E05.91 a CC or MCC?
- E05.91 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does E05.91 group to?
- E05.91 is used in the MS-DRG v44.0 logic for MS-DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC), MS-DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC), MS-DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC), MS-DRG 643 (Endocrine Disorders with MCC), MS-DRG 644 (Endocrine Disorders with CC) and MS-DRG 645 (Endocrine Disorders without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for E05.91?
- The CMS General Equivalence Mappings map E05.91 to ICD-9-CM 242.91.