ICD-10 Coding for Multi Thyroid Nodules(E04.2, E05.21)
Complete ICD-10-CM coding and documentation guide for Multi Thyroid Nodules. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Multi Thyroid Nodules
E04.0-E04.9Primary Range
Nontoxic goiter
This range includes codes for various types of nontoxic goiters, including multinodular goiter.
Thyrotoxicosis [hyperthyroidism]
This range includes codes for thyrotoxicosis, which may be associated with toxic multinodular goiter.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E04.2 | Nontoxic multinodular goiter | Use when multiple thyroid nodules are present without evidence of hyperthyroidism. |
|
| E05.21 | Thyrotoxicosis with toxic multinodular goiter | Use when multiple thyroid nodules are present with evidence of hyperthyroidism. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for multi thyroid nodules
Essential facts and insights about Multi Thyroid Nodules
Primary ICD-10-CM Codes for multi thyroid nodules
Decision Criteria
clinical Criteria
- Normal TSH and multiple nodules on ultrasound
Applicable To
- Multiple thyroid nodules without hyperthyroidism
Excludes
- Toxic multinodular goiter (E05.21)
Clinical Validation Requirements
- Normal TSH levels
- Ultrasound showing multiple nodules
Code-Specific Risks
- Misclassification if hyperthyroidism is present
Coding Notes
- Ensure documentation specifies 'nontoxic' to avoid misclassification.
E05.21 - Thyrotoxicosis with toxic multinodular goiter
Use when multiple thyroid nodules are present with evidence of hyperthyroidism.
Applicable To
- Hyperthyroidism with multiple toxic nodules
Excludes
- Nontoxic multinodular goiter (E04.2)
Clinical Validation Requirements
- Suppressed TSH levels
- Elevated T3/T4 levels
- Radionuclide scan showing hyperfunctioning nodules
Coding Notes
Ensure documentation includes evidence of thyrotoxicosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Nontoxic single thyroid nodule
E04.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Multi Thyroid Nodules to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E04.2.
Impact
Clinical: May lead to inappropriate treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential for incorrect billing
Mitigation Strategy
Ensure documentation specifies 'toxic' or 'nontoxic', Review lab results for thyroid function
Impact
Reimbursement: Potential underpayment due to unspecified coding, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Use E04.2 for documented multinodular goiter
Impact
Inadequate documentation of nodule characteristics and thyroid function
Mitigation Strategy
Implement standardized templates for thyroid nodule evaluation
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Multi Thyroid Nodules, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Multi Thyroid Nodules
Use these documentation templates to ensure complete and accurate documentation for Multi Thyroid Nodules. These templates include all required elements for proper coding and billing.
Evaluation of multinodular goiter
Specialty: EndocrinologyRequired Elements
- Nodule size and characteristics
- TSH and free T4 levels
- Ultrasound findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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