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v1.0.0
ICD-10 Guide
DiagnosesMultinodular Goiter

Multinodular Goiter

ICD-10 Coding for Multinodular Goiter(E04.2, E05.20)

PRIMARY SPECIALTYEndocrinology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Multinodular Goiter?
Essential facts and insights about Multinodular Goiter

Key Clinical Considerations:

  • Enlarged thyroid gland (goiter)
  • Symptoms of hyperthyroidism or hypothyroidism (e.g., weight changes, fatigue)
  • Thyroid function tests (TSH, T3, T4) and ultrasound findings

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including symptoms and duration
  • Thyroid function test results
  • Ultrasound report detailing nodule characteristics

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for distinguishing between multinodular goiter and other thyroid conditions.
  • Common errors include misclassifying nodular goiter as simple goiter.

Code Exclusions

Important Exclusions

  • Thyroid cancer (C73)
  • Single thyroid nodule (E04.1)

Related ICD-10 Codes

Primary Codes
E04.2
Multinodular goiter
Ancillary Codes
R13.1
J39.8
Differential Codes
E04.1
E04.1
when only a single thyroid nodule is present.
E05.10
E05.10
when only a single toxic nodule is present.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Endocrinology

Specialty Applications

  • Adults and children with thyroid enlargement
  • Endocrinology clinics and primary care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document patient history, physical exam findings, and test results.

What are the billing considerations?

Ensure accurate coding based on diagnostic tests and clinical findings.