Nontoxic multinodular goiter
ICD-10 E04.2 is a billable code used to indicate a diagnosis of nontoxic multinodular goiter.
Nontoxic multinodular goiter is characterized by the presence of multiple nodules in the thyroid gland without associated hyperthyroidism or malignancy. This condition often arises in areas with iodine deficiency, leading to compensatory thyroid enlargement. Patients may present with a visible swelling in the neck, difficulty swallowing, or a sensation of tightness. The nodules are typically benign and do not produce excess thyroid hormones, distinguishing them from toxic goiters. Diagnosis is confirmed through physical examination, imaging studies such as ultrasound, and thyroid function tests, which usually reveal normal levels of thyroid hormones (T3 and T4) and TSH. Management may involve monitoring, hormone replacement therapy in cases of hypothyroidism, or surgical intervention if the goiter causes compressive symptoms or cosmetic concerns. Regular follow-up is essential to monitor for changes in nodule size or function.
Thorough documentation of thyroid function tests, imaging results, and clinical symptoms.
Patients presenting with neck swelling, abnormal thyroid function tests, or nodular findings on ultrasound.
Ensure clear documentation of the absence of hyperthyroidism and malignancy to avoid misclassification.
Detailed patient history, physical examination findings, and any referrals made for further evaluation.
Routine check-ups revealing thyroid enlargement or patients reporting symptoms related to thyroid dysfunction.
Document any family history of thyroid disease and iodine intake to support diagnosis.
Used to assess thyroid hormone levels in patients with suspected goiter.
Document the rationale for testing and results.
Endocrinologists may require more detailed lab results.
A toxic multinodular goiter is associated with hyperthyroidism and excessive hormone production, while a nontoxic multinodular goiter does not produce excess hormones and is typically benign.
