ICD-10 Coding for Thyroid Goiter(E04.0, E04.2, E05.10, E07.1)
Complete ICD-10-CM coding and documentation guide for Thyroid Goiter. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyroid Goiter
E04.0-E04.9Primary Range
Nontoxic goiter
This range covers various forms of nontoxic goiter, including diffuse and multinodular types.
Thyrotoxicosis with goiter
This range includes conditions where goiter is associated with hyperthyroidism.
Other disorders of thyroid
Includes dyshormonogenetic goiter, which is a genetic disorder affecting thyroid hormone synthesis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E04.0 | Nontoxic diffuse goiter | Use when the thyroid is uniformly enlarged without nodules and thyroid function is normal. |
|
| E04.2 | Nontoxic multinodular goiter | Use when multiple nodules are present and thyroid function is normal. |
|
| E05.10 | Thyrotoxicosis with toxic single thyroid nodule | Use when a single thyroid nodule causes hyperthyroidism. |
|
| E07.1 | Dyshormonogenetic goiter | Use for congenital goiter due to genetic enzyme defects. |
|
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 Thyroid Goiter
Primary ICD-10-CM Codes for thyroid goiter
Decision Criteria
clinical Criteria
- Thyroid is uniformly enlarged without nodules.
Applicable To
- Simple goiter
Excludes
- Thyrotoxicosis with diffuse goiter (E05.00)
Clinical Validation Requirements
- Smooth thyroid enlargement
- Normal TSH and T4 levels
- No nodules on ultrasound
Code-Specific Risks
- Misclassification if nodules are present
Coding Notes
- Ensure documentation specifies 'diffuse' and 'nontoxic' to avoid misclassification.
E04.2 - Nontoxic multinodular goiter
Use when multiple nodules are present and thyroid function is normal.
Applicable To
- Multinodular goiter
Excludes
- Thyrotoxicosis with multinodular goiter (E05.20)
Clinical Validation Requirements
- Multiple nodules on ultrasound
- Euthyroid labs
Coding Notes
Documentation must specify 'multinodular' and 'nontoxic'.
E05.10 - Thyrotoxicosis with toxic single thyroid nodule
Use when a single thyroid nodule causes hyperthyroidism.
Applicable To
- Toxic adenoma
Excludes
- Thyrotoxicosis with multinodular goiter (E05.20)
Clinical Validation Requirements
- Suppressed TSH
- Elevated T4
- Single nodule on ultrasound
Coding Notes
Ensure documentation specifies 'toxic' and 'single nodule'.
E07.1 - Dyshormonogenetic goiter
Use for congenital goiter due to genetic enzyme defects.
Applicable To
- Congenital goiter due to enzyme defect
Excludes
- Acquired hypothyroidism (E03.9)
Clinical Validation Requirements
- Genetic testing confirming enzyme defect
- Congenital onset
Coding Notes
Documentation must confirm genetic testing results.
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 Thyroid Goiter to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E04.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Always include lab results in documentation, Use templates to ensure all necessary information is captured
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreases data accuracy for clinical and research purposes.
Mitigation Strategy
Query for specific details such as nodularity or toxicity to use a more specific code.
Impact
Audits may focus on whether the correct specific goiter code was used based on documentation.
Mitigation Strategy
Ensure documentation includes all necessary details to support the specific code used.
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 Thyroid Goiter, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyroid Goiter
Use these documentation templates to ensure complete and accurate documentation for Thyroid Goiter. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- Family history
- Thyroid examination findings
- Lab results
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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