Other nontoxic goiter
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E04 is a billable code used to indicate a diagnosis of other nontoxic goiter.
Other nontoxic goiter refers to an enlargement of the thyroid gland that is not associated with hyperthyroidism or malignancy. This condition can arise due to various factors, including iodine deficiency, autoimmune conditions, or as a result of certain medications. Nontoxic goiters can be classified as diffuse or nodular, with the latter often presenting as discrete lumps within the thyroid tissue. Patients may present with a visible swelling in the neck, but many remain asymptomatic. Diagnosis typically involves thyroid function tests, including serum TSH, T3, and T4 levels, to rule out thyroid dysfunction. Imaging studies such as ultrasound may be utilized to assess the size and structure of the goiter. Management may include observation, thyroid hormone replacement, or surgical intervention in cases of significant enlargement or compressive symptoms. Understanding the underlying cause is crucial for appropriate treatment and monitoring.
Thorough documentation of thyroid function tests, imaging results, and clinical findings.
Patients presenting with neck swelling, abnormal thyroid function tests, or incidental findings on imaging.
Ensure clarity in distinguishing between nontoxic and toxic goiter, and document any associated symptoms.
Detailed patient history, physical examination findings, and any referrals made to specialists.
Routine check-ups revealing thyroid enlargement or patients reporting symptoms of thyroid dysfunction.
Document any family history of thyroid disease and ensure follow-up on lab results.
Used to assess thyroid function in patients with goiter.
Document the reason for the test and the results.
Endocrinologists may require more detailed lab results.
Toxic goiter is associated with hyperthyroidism, while nontoxic goiter does not involve excessive thyroid hormone production and is typically benign.
