Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm
ICD-10 E05.20 is a billable code used to indicate a diagnosis of thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm.
Thyrotoxicosis with toxic multinodular goiter is a condition characterized by the excessive production of thyroid hormones due to the presence of multiple hyperfunctioning nodules in the thyroid gland. This condition is often seen in patients with a history of iodine deficiency or those who have developed nodular goiter over time. Unlike thyrotoxic crisis or storm, which is a life-threatening exacerbation of hyperthyroidism, E05.20 indicates a more stable state of hyperthyroidism where the patient may present with symptoms such as weight loss, increased appetite, heat intolerance, and palpitations. Diagnosis typically involves thyroid function tests, including serum TSH, free T4, and T3 levels, which will show suppressed TSH and elevated thyroid hormones. Management may include antithyroid medications, radioactive iodine therapy, or surgical intervention depending on the severity of symptoms and the size of the goiter. Regular monitoring of thyroid function tests is essential to assess treatment efficacy and adjust therapy as needed.
Thorough documentation of thyroid function tests, imaging studies, and clinical symptoms.
Patients presenting with symptoms of hyperthyroidism, routine follow-ups for thyroid function monitoring.
Ensure clear documentation of the type of goiter and any associated symptoms to support the diagnosis.
Comprehensive patient history, physical examination findings, and lab results.
Initial evaluation of hyperthyroid symptoms, referrals to specialists.
Documenting the patient's history of iodine intake and any previous thyroid issues.
Used to evaluate thyroid function in patients suspected of hyperthyroidism.
Document the reason for testing and any relevant clinical findings.
Endocrinologists may require more detailed lab results for treatment planning.
Common symptoms include weight loss, increased appetite, heat intolerance, palpitations, anxiety, and tremors. Patients may also present with a visible goiter.
