ICD-10 Code E04.1 | Nontoxic single thyroid nodule Symptoms, Diagnosis, Billing

Nontoxic single thyroid nodule refers to a solitary thyroid nodule that is not associated with hyperthyroidism or malignancy. These nodules are often benign and may arise from various causes, including colloid nodules or follicular adenomas. Accurate coding with ICD-10 Code E04.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and monitor this condition.

What is ICD-10 Code E04.1 for Nontoxic single thyroid nodule?

ICD-10 Code E04.1 represents a nontoxic single thyroid nodule, which is a benign growth in the thyroid gland that does not produce excess thyroid hormones. This code is used when documenting cases of solitary thyroid nodules that are not associated with thyroid dysfunction or malignancy. It is important for accurate clinical documentation and billing, particularly in endocrinology and primary care settings.

ICD-10 Code E04.1 – Clinical Definition and Explanation of Nontoxic single thyroid nodule

Nontoxic single thyroid nodules are typically benign and can arise from various etiologies, including colloid cysts or adenomas. While most are asymptomatic, they may require evaluation to rule out malignancy. Medical attention is warranted to monitor growth and assess for potential complications.

Key Clinical Features:

• Palpable thyroid nodule on examination
• Normal thyroid function tests
• Ultrasound findings suggestive of benignity
• Absence of associated symptoms such as weight loss or hyperactivity

ICD-10 Code E04.1 for Nontoxic single thyroid nodule – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code E04.1 is utilized to document the presence of a nontoxic single thyroid nodule, aiding in the assessment and treatment planning. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition.

What Does ICD-10 Code E04.1 for Nontoxic single thyroid nodule Mean in SOAP Notes?

ICD-10 Code E04.1 connects subjective patient reports and objective clinical findings to a formal diagnosis of a nontoxic single thyroid nodule. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code E04.1 – Nontoxic single thyroid nodule

Management of a nontoxic single thyroid nodule typically involves monitoring and may require intervention if there are changes in size or symptoms.

Antibiotic Therapy:

Supportive Care:

• Regular follow-up with ultrasound
• Patient education on signs of complications
• Monitoring thyroid function tests

Infection Control:

How to Document Symptoms of Nontoxic single thyroid nodule (ICD-10 E04.1) in SOAP Notes

Subjective:

• Patient reports a palpable lump in the neck
• No history of weight changes or hyperactivity
• Denies pain or discomfort in the thyroid area

Objective:

• Thyroid examination reveals a solitary nodule
• Thyroid function tests within normal limits
• Ultrasound shows a solid nodule without suspicious features

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SOAP Note Guidelines for Diagnosing Nontoxic single thyroid nodule (ICD-10 Code E04.1)

Assessment:

• Diagnosis: Nontoxic single thyroid nodule, benign
• ICD-10 Code: E04.1
• No significant risk factors identified
• Monitor for changes in size or symptoms

Plan:

• Schedule follow-up ultrasound in 6-12 months
• Educate patient on self-monitoring for changes
• Consider fine needle aspiration if nodule enlarges

Treatment & Plan Section for ICD-10 Code E04.1 – Nontoxic single thyroid nodule

• Regular monitoring of nodule size and symptoms
• Patient education on potential signs of malignancy
• Thyroid function tests to ensure normal hormone levels
• Referral to endocrinology if changes occur

Using ICD-10 Code E04.1 for Nontoxic single thyroid nodule in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and findings in SOAP notes
• Use E04.1 for billing in outpatient and inpatient settings
• Align treatment plans with clinical guidelines for justified billing
• Document any associated procedures or evaluations performed

Related ICD-10 Codes Often Used with Nontoxic single thyroid nodule

• E04.0 – Nontoxic multinodular goiter
• E05.90 – Thyrotoxicosis, unspecified
• E06.9 – Thyroiditis, unspecified
• C73 – Malignant neoplasm of thyroid gland

ICD-10 Code E04.1 in Medical Billing and Insurance for Nontoxic single thyroid nodule

ICD-10 Code E04.1 is essential for accurate billing in various healthcare settings, including outpatient and inpatient care.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis
• Use E04.1 in conjunction with appropriate CPT codes for procedures
• Ensure compliance with payer guidelines for documentation

Common CPT Pairings: