Iodine-deficiency related multinodular (endemic) goiter
ICD-10 E01.1 is a billable code used to indicate a diagnosis of iodine-deficiency related multinodular (endemic) goiter.
Iodine-deficiency related multinodular goiter is a condition characterized by the enlargement of the thyroid gland due to insufficient iodine intake, leading to the development of multiple nodules within the gland. This condition is prevalent in regions where iodine is not adequately available in the diet, often referred to as endemic goiter. The thyroid gland requires iodine to synthesize thyroid hormones, which are crucial for regulating metabolism, growth, and development. When iodine levels are low, the thyroid compensates by enlarging, resulting in a goiter. Patients may present with symptoms such as neck swelling, difficulty swallowing, or breathing issues if the goiter is large enough. Thyroid function tests may reveal hypothyroidism, as the lack of iodine leads to decreased hormone production. In some cases, the goiter can become multinodular, with varying degrees of hormone production, potentially leading to hyperthyroidism in some nodules. Diagnosis typically involves clinical examination, imaging studies, and laboratory tests to assess thyroid hormone levels and iodine status.
Thorough documentation of thyroid function tests, iodine levels, and clinical symptoms.
Patients presenting with goiter, abnormal thyroid function tests, or symptoms of hypothyroidism.
Ensure that all relevant lab results and imaging studies are included in the documentation.
Detailed patient history, including dietary habits and symptoms related to thyroid dysfunction.
Routine check-ups revealing thyroid enlargement or symptoms of thyroid dysfunction.
Document any referrals to specialists and follow-up on lab results.
Used to evaluate thyroid function in patients with goiter.
Document the reason for the test and any symptoms related to thyroid dysfunction.
Endocrinologists may require additional tests to assess thyroid hormone levels.
Symptoms may include neck swelling, difficulty swallowing or breathing, fatigue, and signs of hypothyroidism such as weight gain and cold intolerance.
