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ICD-10 Code E01.0 | Iodine-deficiency related diffuse (endemic) goiter Symptoms, Diagnosis, Billing

ICD-10 Code E01.0 represents Iodine-deficiency related diffuse (endemic) goiter, a condition resulting from inadequate iodine levels leading to thyroid gland enlargement. This code should be used in clinical documentation when diagnosing patients with goiter due to iodine deficiency, ensuring accurate billing and tracking of this public health issue.

Iodine-deficiency related diffuse (endemic) goiter occurs when the thyroid gland enlarges in response to insufficient iodine intake, which is essential for thyroid hormone production. This condition can progress to hypothyroidism if not addressed, necessitating medical intervention.

Key Clinical Features:

  • Enlargement of the thyroid gland (goiter) visible on physical examination.
  • Symptoms of hypothyroidism, such as fatigue, weight gain, and cold intolerance.
  • Increased prevalence in regions with low dietary iodine.
  • Potential for developmental delays in children due to maternal iodine deficiency.

ICD-10 Code E01.0 is utilized in SOAP notes to document the presence of iodine-deficiency related diffuse (endemic) goiter. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

In SOAP notes, ICD-10 Code E01.0 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of iodine-deficiency related diffuse (endemic) goiter. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Management of iodine-deficiency related diffuse (endemic) goiter focuses on correcting iodine deficiency and monitoring thyroid function.

Antibiotic Therapy:

    Supportive Care:

    • Iodine supplementation through dietary changes or iodized salt.
    • Regular monitoring of thyroid hormone levels.
    • Patient education on the importance of iodine in the diet.

    Infection Control:

      Subjective:

      • Patient reports a noticeable swelling in the neck.
      • Complaints of fatigue and weight gain.
      • History of dietary iodine deficiency.
      • Family history of thyroid disorders.

      Objective:

      • Thyroid gland palpation reveals diffuse enlargement.
      • Vital signs within normal limits.
      • Thyroid function tests indicate low T3 and T4 levels.
      • No signs of acute distress noted.
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      Assessment:

      • Diagnosis: Iodine-deficiency related diffuse (endemic) goiter, moderate severity.
      • ICD-10 Code: E01.0.
      • Contributing factors: Low dietary iodine intake.
      • No acute complications noted.

      Plan:

      • Initiate iodine supplementation and dietary counseling.
      • Schedule follow-up thyroid function tests in 6 weeks.
      • Educate patient on signs of hypothyroidism.
      • Refer to endocrinology if no improvement.
      • First-line treatment includes iodine supplementation.
      • Encourage dietary modifications to include iodine-rich foods.
      • Monitor thyroid function tests regularly to assess treatment efficacy.
      • Provide patient education on the importance of iodine for thyroid health.
      • Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
      • Use E01.0 for patients with confirmed iodine deficiency leading to goiter.
      • Align treatment plans with clinical guidelines to support justified billing.
      • Include relevant CPT codes that correspond to the services provided.

      ICD-10 Code E01.0 is critical for billing in hospital, ER, or outpatient settings, particularly for conditions related to iodine deficiency.

      Billing Notes:

      • Document all relevant patient history and clinical findings to support the use of E01.0.
      • Ensure that the code is used in conjunction with appropriate CPT codes for services rendered.
      • Maintain clear records of treatment plans and follow-up care to justify claims.

      Common CPT Pairings:

      CPT CodeDescription
      83036Thyroid function tests (T3, T4, TSH).
      99213Established patient office visit, level 3.
      99406Smoking and tobacco use cessation counseling visit.

      Frequently Asked Questions

      Common Questions About Using ICD-10 Code E01.0 for Iodine-deficiency related diffuse (endemic) goiter

      What are the common symptoms of iodine-deficiency related diffuse goiter?

      Common symptoms include visible swelling in the neck, fatigue, weight gain, and cold intolerance. Patients may also experience symptoms related to hypothyroidism if the condition progresses.

      How is iodine-deficiency related diffuse goiter diagnosed?

      Diagnosis is typically made through clinical examination, patient history of iodine intake, and laboratory tests measuring thyroid hormone levels.

      What is the treatment for iodine-deficiency related diffuse goiter?

      Treatment primarily involves iodine supplementation through dietary changes or iodized salt, along with regular monitoring of thyroid function.

      Is iodine-deficiency related diffuse goiter preventable?

      Yes, it is preventable through adequate dietary iodine intake, particularly in regions where iodine deficiency is common.

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