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v1.0.0
ICD-10 Guide
ICD-10 CodesP72.0

P72.0

Billable

Neonatal goiter, not elsewhere classified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 P72.0 is a billable code used to indicate a diagnosis of neonatal goiter, not elsewhere classified.

Key Diagnostic Point:

Neonatal goiter refers to the enlargement of the thyroid gland in newborns, which can occur due to various factors including maternal iodine deficiency, autoimmune disorders, or congenital hypothyroidism. This condition is classified as 'not elsewhere classified' when it does not fit into other specific categories of thyroid dysfunction. The clinical presentation may include a visible swelling in the neck region, difficulty in breathing or swallowing, and potential impacts on metabolic functions. Diagnosis typically involves physical examination, thyroid function tests, and imaging studies. Management may include monitoring, hormone replacement therapy, or surgical intervention depending on the severity and underlying cause. It is crucial for healthcare providers to differentiate neonatal goiter from other thyroid disorders to ensure appropriate treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (e.g., maternal factors, congenital issues)
  • Need for differential diagnosis with other thyroid disorders
  • Potential for co-existing conditions affecting treatment
  • Variability in clinical presentation among newborns

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the underlying cause of goiter
  • Misclassification with other thyroid disorders
  • Lack of follow-up documentation for ongoing management

Specialty Focus

Medical Specialties

Neonatology

Documentation Requirements

Detailed neonatal assessments, including growth parameters and thyroid function tests.

Common Clinical Scenarios

Neonates presenting with neck swelling, respiratory distress, or feeding difficulties.

Billing Considerations

Consideration of maternal health history, including iodine intake and autoimmune conditions.

Pediatrics

Documentation Requirements

Comprehensive pediatric evaluations, including developmental assessments and follow-up care plans.

Common Clinical Scenarios

Pediatric patients with a history of neonatal goiter requiring ongoing monitoring for thyroid function.

Billing Considerations

Awareness of long-term implications of neonatal thyroid dysfunction on growth and development.

Coding Guidelines

Inclusion Criteria

Use P72.0 When
  • Follow the ICD
  • CM guidelines for coding neonatal conditions, ensuring accurate documentation of clinical findings and any underlying causes
  • Use additional codes as necessary to capture associated conditions

Exclusion Criteria

Do NOT use P72.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

84443CPT Code

Thyroid stimulating hormone (TSH) test

Clinical Scenario

Used to evaluate thyroid function in newborns with suspected goiter.

Documentation Requirements

Document the indication for the test and results.

Specialty Considerations

Neonatologists should ensure that TSH levels are interpreted in the context of gestational age.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of diagnoses and treatment plans. P72.0 provides a clear classification for neonatal goiter, facilitating better tracking and management of this condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of diagnoses and treatment plans. P72.0 provides a clear classification for neonatal goiter, facilitating better tracking and management of this condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neonatal conditions, improving the accuracy of diagnoses and treatment plans. P72.0 provides a clear classification for neonatal goiter, facilitating better tracking and management of this condition.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Neonatal Thyroid Disorders

Coding & Billing References

  • •
    American Academy of Pediatrics - Neonatal Thyroid Disorders

Frequently Asked Questions

What are the common causes of neonatal goiter?

Common causes include maternal iodine deficiency, autoimmune thyroid disease, and congenital hypothyroidism. It is essential to evaluate the newborn's thyroid function and maternal health history to determine the underlying cause.