ICD-10 Coding for Multiple Thyroid Nodules(E04.2, E05.20)
Complete ICD-10-CM coding and documentation guide for Multiple Thyroid Nodules. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Multiple Thyroid Nodules
E04-E07Primary Range
Disorders of thyroid gland
This range includes codes for various thyroid disorders, including 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 signs of hyperthyroidism. |
|
| E05.20 | Thyrotoxicosis with toxic multinodular goiter | Use when multiple thyroid nodules are present with signs 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 multiple thyroid nodules
Essential facts and insights about Multiple Thyroid Nodules
Primary ICD-10-CM Codes for multiple thyroid nodule
Decision Criteria
clinical Criteria
- Multiple nodules with normal thyroid function tests
Applicable To
- Multiple thyroid nodules without hyperthyroidism
Clinical Validation Requirements
- Ultrasound showing multiple nodules
- Normal TSH and T4 levels
Code-Specific Risks
- Misclassification if hyperthyroidism is present
Coding Notes
- Ensure documentation specifies nodule count and absence of hyperthyroidism.
E05.20 - Thyrotoxicosis with toxic multinodular goiter
Use when multiple thyroid nodules are present with signs of hyperthyroidism.
Applicable To
- Multiple thyroid nodules with hyperthyroidism
Excludes
- Nontoxic multinodular goiter (E04.2)
Clinical Validation Requirements
- Suppressed TSH levels
- Elevated T4 or T3 levels
- Symptoms of hyperthyroidism
Coding Notes
Document hyperthyroidism symptoms and lab results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified disorders of thyroid
E07.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Multiple 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 misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or audits.
Mitigation Strategy
Use structured templates for documentation., Ensure thorough clinical evaluation and reporting.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Ensure documentation specifies multiple nodules to use E04.2.
Impact
Inadequate documentation of nodule characteristics and thyroid function.
Mitigation Strategy
Implement detailed documentation protocols and regular 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 Multiple Thyroid Nodules, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Multiple Thyroid Nodules
Use these documentation templates to ensure complete and accurate documentation for Multiple Thyroid Nodules. These templates include all required elements for proper coding and billing.
Endocrinology Clinic Visit
Specialty: EndocrinologyRequired Elements
- Patient history
- 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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