ICD-10 Coding for Nontoxic Multinodular Goiter(E04.2, E04.8, E04.9)
Complete ICD-10-CM coding and documentation guide for Nontoxic Multinodular Goiter. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Nontoxic Multinodular Goiter
E04.0-E04.9Primary Range
Other nontoxic goiter
This range includes codes for various types of nontoxic goiters, including multinodular forms.
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 goiter is multinodular and nontoxic, confirmed by imaging and lab results. |
|
| E04.8 | Other specified nontoxic goiter | Use when specific features like cystic degeneration are documented. |
|
| E04.9 | Nontoxic goiter, unspecified | Use when documentation is insufficient to specify type of goiter. |
|
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 nontoxic multinodular goiter
Essential facts and insights about Nontoxic Multinodular Goiter
Primary ICD-10-CM Codes for nontoxic multinodular goiter
Decision Criteria
clinical Criteria
- Multiple nodules confirmed by ultrasound
documentation Criteria
- Explicit mention of 'nontoxic' status
Applicable To
- Multiple thyroid nodules
- Euthyroid multinodular goiter
Excludes
- Toxic multinodular goiter (E05.2x)
Clinical Validation Requirements
- Normal TSH levels
- Ultrasound showing multiple nodules
- Absence of hyperthyroid symptoms
Code-Specific Risks
- Confusion with toxic multinodular goiter
- Inaccurate documentation of nodule count
Coding Notes
- Ensure documentation specifies 'nontoxic' and 'multinodular' to avoid misclassification.
E04.8 - Other specified nontoxic goiter
Use when specific features like cystic degeneration are documented.
Applicable To
- Cystic degeneration of thyroid
Clinical Validation Requirements
- Documentation of atypical features such as cystic changes
Coding Notes
Ensure documentation specifies the atypical features.
E04.9 - Nontoxic goiter, unspecified
Use when documentation is insufficient to specify type of goiter.
Clinical Validation Requirements
- Lack of specific details in documentation
Coding Notes
Encourage providers to specify type and characteristics of goiter.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of malignant neoplasm of thyroid
Z85.850Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Toxic multinodular goiter
E05.20Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Nontoxic 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 misdiagnosis or inappropriate treatment., Regulatory: Increases risk of coding audits., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure imaging reports are detailed, Educate providers on documentation standards
Impact
Reimbursement: May result in lower reimbursement due to non-specific coding., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Decreases data quality and accuracy in medical records.
Mitigation Strategy
Query provider for more specific details about the goiter.
Impact
Risk of audits due to use of unspecified codes.
Mitigation Strategy
Encourage detailed documentation and use of specific codes.
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 Nontoxic Multinodular Goiter, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Nontoxic Multinodular Goiter
Use these documentation templates to ensure complete and accurate documentation for Nontoxic Multinodular Goiter. These templates include all required elements for proper coding and billing.
Routine evaluation of multinodular goiter
Specialty: EndocrinologyRequired Elements
- Patient history
- Physical examination findings
- Laboratory results
- Imaging studies
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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