Other specified nontoxic goiter
ICD-10 E04.8 is a billable code used to indicate a diagnosis of other specified nontoxic goiter.
E04.8 refers to other specified nontoxic goiter, which encompasses various forms of thyroid enlargement that are not associated with hyperthyroidism or malignancy. Nontoxic goiters can arise from several factors, including iodine deficiency, autoimmune conditions, or genetic predispositions. Unlike toxic goiters, which produce excess thyroid hormones, nontoxic goiters typically do not affect thyroid function, although they may lead to hypothyroidism in some cases. The clinical presentation often includes a visible enlargement of the thyroid gland, which may be asymptomatic or associated with compressive symptoms such as difficulty swallowing or breathing. Diagnosis is usually confirmed through physical examination, thyroid function tests, and imaging studies like ultrasound. Management may involve monitoring, dietary modifications, or surgical intervention if the goiter becomes symptomatic or cosmetically concerning. Understanding the underlying causes and differentiating from other thyroid disorders is crucial for appropriate management and coding.
Thorough documentation of thyroid function tests, imaging studies, and clinical symptoms.
Patients presenting with thyroid enlargement, abnormal thyroid function tests, or symptoms of compression.
Endocrinologists should ensure that all relevant lab results and imaging findings are included in the patient's record.
Detailed history and physical examination findings, including any referrals to specialists.
Routine check-ups revealing thyroid enlargement or patients with a history of iodine deficiency.
Primary care providers should document any changes in symptoms or thyroid function over time.
Used to evaluate thyroid function in patients with nontoxic goiter.
Document the rationale for testing and results.
Endocrinologists should correlate lab results with clinical findings.
Nontoxic goiter is characterized by thyroid enlargement without excess hormone production, while toxic goiter is associated with hyperthyroidism and increased hormone levels.
