ICD Code E04.1

ICD code E04.1 is used to identify a medical diagnosis of a nontoxic single thyroid nodule. This means that the patient has a solitary growth or lump in the thyroid gland that is not causing hyperthyroidism or other toxic symptoms. This code is utilized by healthcare providers for accurate documentation and billing purposes, ensuring that the condition is clearly communicated for treatment and reimbursement processes.

When using the ICD code for a nontoxic single thyroid nodule, healthcare providers should consider the following diagnostic criteria and symptoms:

1. Presence of a Single Thyroid Nodule: The patient should have a solitary nodule in the thyroid gland, confirmed through physical examination or imaging studies such as ultrasound.

2. Normal Thyroid Function Tests: Laboratory tests, including TSH (Thyroid Stimulating Hormone) and free T4, should indicate normal thyroid function, ruling out hyperthyroidism or hypothyroidism.

3. Absence of Toxic Symptoms: The patient should not exhibit symptoms associated with thyroid hormone excess, such as weight loss, palpitations, heat intolerance, or nervousness.

4. Benign Characteristics on Imaging: Ultrasound or other imaging modalities should show features consistent with a benign nodule, such as a well-defined margin and absence of microcalcifications or irregular vascular patterns.

5. Negative Fine-Needle Aspiration Biopsy (if performed): If a biopsy is conducted, cytology results should not indicate malignancy or suspicious cells.

6. No Evidence of Compression Symptoms: The patient should not experience symptoms of compression, such as difficulty swallowing or breathing, which could suggest a larger or more aggressive growth.

7. Stable Nodule Size: Over time, the nodule should not demonstrate significant growth or changes in size, as monitored through follow-up imaging.

By adhering to these criteria, healthcare providers can accurately utilize the ICD code for a nontoxic single thyroid nodule in their documentation and billing processes.

For the ICD code E04.1, which pertains to a nontoxic single thyroid nodule, the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

1. 60300 - Aspiration and/or injection of thyroid cyst.
2. 60100 - Biopsy of thyroid, percutaneous core needle.
3. 76536 - Ultrasound, soft tissues of head and neck (e.g., thyroid, parathyroid, parotid), real-time with image documentation.
4. 10021 - Fine needle aspiration biopsy, without imaging guidance.
5. 10022 - Fine needle aspiration biopsy, with imaging guidance.
6. 60200 - Partial thyroid lobectomy, unilateral; with or without isthmusectomy.
7. 60210 - Partial thyroid lobectomy, unilateral, with contralateral subtotal lobectomy, including isthmusectomy.

These CPT codes are typically used in the context of diagnosing or treating a nontoxic single thyroid nodule, as indicated by the ICD code E04.1. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

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