Find comprehensive information on Nontoxic Multinodular Goiter including clinical documentation, medical coding, ICD-10 codes E04.2 and E04.9, SNOMED CT, diagnosis, treatment, and management. Learn about differential diagnoses, thyroid ultrasound findings, and best practices for healthcare professionals documenting and coding this common thyroid condition. Explore resources for patient education and understand the implications for medical billing and reimbursement.
Also known as
Nontoxic multinodular goiter
Enlarged thyroid with multiple nodules, not producing excess hormones.
Goiter, unspecified
Enlarged thyroid without further specification of type or cause.
Thyrotoxicosis [hyperthyroidism]
Overactive thyroid producing excessive hormones, sometimes with goiter.
Thyroiditis
Inflammation of the thyroid gland, which can sometimes cause goiter.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the goiter toxic?
Yes
Do NOT code as nontoxic multinodular goiter. See guidelines for toxic goiter (E05.-).
No
Is it multinodular?
When to use each related code
| Description |
|---|
| Nontoxic Multinodular Goiter |
| Toxic Multinodular Goiter |
| Simple Goiter |
Using unspecified goiter codes (e.g., E04.9) when documented features support more specific multinodular goiter codes (e.g., E04.2).
Overlooking or undercoding associated thyroid dysfunction (hypothyroidism, hyperthyroidism) when present with multinodular goiter.
Insufficient documentation to distinguish between nontoxic and toxic multinodular goiter, impacting accurate code assignment.
Patient presents with complaints consistent with nontoxic multinodular goiter (MNG). Symptoms include noticeable neck swelling, possible dysphagia, dyspnea, or a sensation of fullness or tightness in the throat. Physical examination reveals an enlarged thyroid gland with palpable, distinct nodules. No signs of thyroid tenderness or lymphadenopathy were observed. Thyroid function tests (TFTs), including TSH, free T4, and free T3, are within normal limits, confirming a euthyroid state. Thyroid ultrasound demonstrates multiple nodules within the thyroid gland, consistent with the diagnosis of multinodular goiter. The patient denies any history of radiation exposure. Family history is negative for thyroid cancer. Differential diagnoses considered included thyroid adenoma, thyroid cyst, and Hashimoto's thyroiditis. Based on the patient's presentation, laboratory results, and imaging findings, the diagnosis of nontoxic multinodular goiter is confirmed. Treatment plan includes observation with serial ultrasound monitoring to assess for any changes in nodule size. Patient education provided regarding the benign nature of the condition and the importance of follow-up. The patient understands the plan and agrees to return for follow-up in six months. ICD-10 code E04.2, benign multinodular goiter, is assigned.