ICD-10 Code E04.2 | Nontoxic multinodular goiter Symptoms, Diagnosis, Billing

Nontoxic multinodular goiter is characterized by the presence of multiple nodules in the thyroid gland without associated hyperthyroidism. It is often caused by iodine deficiency or genetic factors. Accurate coding with ICD-10 Code E04.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code E04.2 for Nontoxic multinodular goiter?

ICD-10 Code E04.2 represents Nontoxic multinodular goiter, a condition where multiple thyroid nodules develop without causing thyroid hormone overproduction. This code should be used in clinical documentation and billing when diagnosing patients with this condition, ensuring accurate representation of the patient's health status and facilitating appropriate treatment.

ICD-10 Code E04.2 – Clinical Definition and Explanation of Nontoxic multinodular goiter

Nontoxic multinodular goiter arises from various factors, including iodine deficiency and genetic predisposition. It may progress slowly and can lead to cosmetic concerns or compressive symptoms, necessitating medical evaluation and potential intervention.

Key Clinical Features:

• Presence of multiple thyroid nodules on physical examination or imaging.
• Absence of hyperthyroid symptoms such as weight loss or palpitations.
• Possible compressive symptoms like difficulty swallowing or breathing.
• Increased prevalence in areas with iodine deficiency.

ICD-10 Code E04.2 for Nontoxic multinodular goiter – SOAP Notes & Clinical Use

ICD-10 Code E04.2 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code E04.2 for Nontoxic multinodular goiter Mean in SOAP Notes?

In SOAP notes, ICD-10 Code E04.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Nontoxic multinodular goiter. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code E04.2 – Nontoxic multinodular goiter

Management of Nontoxic multinodular goiter may require hospitalization if complications arise. Treatment focuses on monitoring and addressing symptoms.

Antibiotic Therapy:

Supportive Care:

• Regular monitoring of thyroid function and nodule size.
• Patient education on symptoms to watch for, such as changes in swallowing or breathing.
• Consideration of surgical intervention if nodules cause significant symptoms.

Infection Control:

How to Document Symptoms of Nontoxic multinodular goiter (ICD-10 E04.2) in SOAP Notes

Subjective:

• Patient reports a noticeable swelling in the neck.
• No history of weight changes or hyperthyroid symptoms.
• Complaints of occasional difficulty swallowing.
• Family history of thyroid disorders.

Objective:

• Thyroid examination reveals multiple nodules.
• Thyroid function tests within normal limits.
• Ultrasound shows multiple benign-appearing nodules.
• No signs of lymphadenopathy.

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SOAP Note Guidelines for Diagnosing Nontoxic multinodular goiter (ICD-10 Code E04.2)

Assessment:

• Diagnosis: Nontoxic multinodular goiter, stable.
• ICD-10 Code: E04.2.
• Contributing factors: Iodine deficiency suspected.
• No acute complications noted.

Plan:

• Monitor thyroid function tests annually.
• Educate patient on signs of potential complications.
• Consider referral to endocrinology for further evaluation.
• Schedule follow-up in 6 months.

Treatment & Plan Section for ICD-10 Code E04.2 – Nontoxic multinodular goiter

• Regular monitoring of thyroid function and nodule size.
• Patient education on symptoms to monitor.
• Consideration of surgical intervention if nodules become symptomatic.
• Referral to endocrinology for specialized management.

Using ICD-10 Code E04.2 for Nontoxic multinodular goiter in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use E04.2 in appropriate clinical settings to support billing.
• Document any relevant patient history that may affect treatment.
• Align treatment plans with clinical guidelines for justified billing.

Related ICD-10 Codes Often Used with Nontoxic multinodular goiter

• E04.0 – Nontoxic diffuse goiter
• E04.1 – Nontoxic single thyroid nodule
• E03.9 – Hypothyroidism, unspecified
• E05.90 – Thyrotoxicosis, unspecified

ICD-10 Code E04.2 in Medical Billing and Insurance for Nontoxic multinodular goiter

ICD-10 Code E04.2 is crucial for accurate billing in hospital, ER, or outpatient settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use E04.2 in conjunction with other codes as necessary for comprehensive billing.
• Ensure that the patient's history and treatment plan are clearly outlined in the medical record.
• Follow payer-specific guidelines for documentation and coding.

Common CPT Pairings: