ICD-10 Coding for Multinodular Goiter(E04.2, E05.20)
Complete ICD-10-CM coding and documentation guide for Multinodular Goiter. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Multinodular Goiter
E04-E05Primary Range
Disorders of thyroid gland
This range includes codes for various thyroid disorders, including multinodular goiter, both toxic and nontoxic.
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 the patient has a multinodular goiter without hyperthyroidism. |
|
| E05.20 | Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis | Use when the patient has a multinodular goiter with 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 multinodular goiter
Essential facts and insights about Multinodular Goiter
Primary ICD-10-CM Codes for multinodular goiter
Decision Criteria
clinical Criteria
- Multiple nodules on ultrasound with normal thyroid function tests.
Applicable To
- Nontoxic multinodular goiter
Excludes
- Toxic multinodular goiter (E05.20)
Clinical Validation Requirements
- Ultrasound showing multiple nodules
- Normal thyroid function tests (TSH, T3, T4)
Code-Specific Risks
- Confusing with single thyroid nodule (E04.1)
Coding Notes
- Ensure documentation specifies 'multinodular' to avoid confusion with other thyroid conditions.
E05.20 - Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis
Use when the patient has a multinodular goiter with hyperthyroidism.
Applicable To
- Toxic multinodular goiter
Excludes
- Nontoxic multinodular goiter (E04.2)
Clinical Validation Requirements
- Elevated T3/T4 levels
- Suppressed TSH levels
Coding Notes
Ensure documentation specifies 'toxic' and includes lab results confirming hyperthyroidism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Multinodular Goiter 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 plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Educate staff on documentation standards, Use templates with required fields
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify ultrasound reports to confirm the number of nodules.
Impact
Inaccurate documentation of multinodular goiter type.
Mitigation Strategy
Implement regular training and audits.
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 Multinodular Goiter, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Multinodular Goiter
Use these documentation templates to ensure complete and accurate documentation for Multinodular Goiter. These templates include all required elements for proper coding and billing.
Endocrinology follow-up
Specialty: EndocrinologyRequired Elements
- Thyroid function tests
- Ultrasound findings
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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