ICD Code E04.2

ICD code E04.2 is used to classify a medical condition known as a nontoxic multinodular goiter. This condition involves an enlargement of the thyroid gland characterized by the presence of multiple nodules. Unlike toxic goiters, a nontoxic multinodular goiter does not result in the overproduction of thyroid hormones, meaning it does not cause hyperthyroidism. This code is utilized in healthcare documentation and billing to ensure accurate representation of the patient's diagnosis for treatment and reimbursement purposes.

1. Presence of Multiple Nodules: The thyroid gland exhibits multiple nodules upon physical examination or imaging studies, such as ultrasound or CT scan.

2. Normal Thyroid Function Tests: Laboratory tests, including TSH (Thyroid Stimulating Hormone), T3, and T4 levels, indicate normal thyroid function, ruling out hyperthyroidism or hypothyroidism.

3. Absence of Toxic Symptoms: The patient does not exhibit symptoms associated with hyperthyroidism, such as unexplained weight loss, increased heart rate, or nervousness.

4. No Evidence of Malignancy: Fine needle aspiration biopsy or other diagnostic procedures show no signs of thyroid cancer or malignancy.

5. No Compression Symptoms: The patient does not experience symptoms of compression, such as difficulty swallowing, breathing difficulties, or hoarseness, which could indicate pressure on the trachea or esophagus.

6. Exclusion of Other Thyroid Disorders: Other thyroid conditions, such as Graves' disease or Hashimoto's thyroiditis, have been ruled out through clinical evaluation and laboratory testing.

7. Stable Nodule Size: The nodules have not shown significant growth over time, as monitored through regular follow-up imaging studies.

8. Patient History: The patient's medical history does not include previous thyroid surgery or radiation exposure, which could contribute to thyroid abnormalities.

By adhering to these diagnostic criteria, healthcare providers can accurately determine when to use the ICD code for this specific condition.

For the ICD code E04.2, which pertains to a nontoxic multinodular goiter, the relevant CPT codes that may be applicable for treatment or procedures include:

1. 60210 - Partial thyroid lobectomy, unilateral; with or without isthmusectomy.
2. 60212 - Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy.
3. 60220 - Total thyroid lobectomy, unilateral; with or without isthmusectomy.
4. 60225 - Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy.
5. 60240 - Thyroidectomy, total or complete.
6. 60252 - Thyroidectomy, total or subtotal for malignancy; with limited neck dissection.
7. 60254 - Thyroidectomy, total or subtotal for malignancy; with radical neck dissection.
8. 60300 - Aspiration and/or injection of thyroid cyst.

These CPT codes are commonly associated with surgical and procedural interventions for conditions related to the thyroid, such as a nontoxic multinodular goiter. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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