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ICD-10 Guide
ICD-10 CodesE07.1

E07.1

Billable

Dyshormogenetic goiter

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E07.1 is a billable code used to indicate a diagnosis of dyshormogenetic goiter.

Key Diagnostic Point:

Dyshormogenetic goiter is a type of thyroid disorder characterized by an abnormality in hormone synthesis, leading to an enlarged thyroid gland (goiter). This condition is often associated with congenital defects in the synthesis of thyroid hormones, which can result from genetic mutations affecting enzymes involved in hormone production. Patients may present with symptoms of hypothyroidism or hyperthyroidism, depending on the severity of the hormone deficiency or excess. The goiter itself can vary in size and may cause compressive symptoms such as difficulty swallowing or breathing. Diagnosis typically involves thyroid function tests, which assess levels of thyroid hormones (T3, T4) and thyroid-stimulating hormone (TSH). Imaging studies, such as ultrasound, may also be utilized to evaluate the size and structure of the thyroid gland. Management of dyshormogenetic goiter often requires hormone replacement therapy and, in some cases, surgical intervention if the goiter is causing significant symptoms or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of thyroid hormone synthesis and related genetic conditions.
  • Differentiation from other types of goiter (e.g., iodine deficiency, autoimmune).
  • Potential overlap with hyperthyroid and hypothyroid conditions.
  • Need for accurate documentation of symptoms and laboratory results.

Audit Risk Factors

  • Inadequate documentation of thyroid function tests.
  • Failure to specify the type of goiter present.
  • Misclassification of dyshormogenetic goiter as another thyroid disorder.
  • Lack of genetic testing results in the medical record.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Thorough documentation of thyroid function tests, imaging studies, and genetic testing results.

Common Clinical Scenarios

Patients presenting with goiter and abnormal thyroid function tests.

Billing Considerations

Ensure clear differentiation between dyshormogenetic goiter and other thyroid disorders.

Genetics

Documentation Requirements

Documentation of family history and genetic testing results.

Common Clinical Scenarios

Patients with a family history of thyroid disorders or congenital hypothyroidism.

Billing Considerations

Highlight the genetic basis of the disorder for accurate coding.

Coding Guidelines

Inclusion Criteria

Use E07.1 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition, including symptoms, lab results, and any relevant imaging studies

Exclusion Criteria

Do NOT use E07.1 When
  • Exclude conditions that do not meet the criteria for dyshormogenetic goiter

Related ICD-10 Codes

Related CPT Codes

84443CPT Code

Thyroid stimulating hormone (TSH)

Clinical Scenario

Used to evaluate thyroid function in patients suspected of having dyshormogenetic goiter.

Documentation Requirements

Document the reason for testing and the patient's symptoms.

Specialty Considerations

Endocrinologists should ensure comprehensive thyroid panels are ordered.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of thyroid disorders, including dyshormogenetic goiter, which enhances the accuracy of diagnosis and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of thyroid disorders, including dyshormogenetic goiter, which enhances the accuracy of diagnosis and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of thyroid disorders, including dyshormogenetic goiter, which enhances the accuracy of diagnosis and treatment tracking.

Resources

Clinical References

  • •
    American Thyroid Association Guidelines

Coding & Billing References

  • •
    American Thyroid Association Guidelines

Frequently Asked Questions

What are the common symptoms of dyshormogenetic goiter?

Common symptoms include an enlarged thyroid gland, difficulty swallowing or breathing, fatigue, weight changes, and symptoms of either hypothyroidism or hyperthyroidism depending on the hormone levels.