2025 ICD-10-CM code E03.1
Congenital hypothyroidism without goiter. This is a condition present from birth where the thyroid gland does not produce enough thyroid hormone, and it is not accompanied by a goiter.
Medical necessity for services related to E03.1 is established by the documented presence of congenital hypothyroidism, confirmed by laboratory testing, and the absence of goiter.Medical necessity for treatment, such as levothyroxine therapy, is based on the severity of the hypothyroidism and its potential impact on growth and development.
Clinicians diagnose this condition through patient history, physical examination, and lab tests (thyroid hormone levels in urine and blood: TSH, T3, T4, and thyroglobulin). Imaging studies, such as thyroid ultrasound, might also be used. Treatment may involve managing symptoms and levothyroxine therapy, with surgery (thyroidectomy) considered in severe cases.
In simple words: Congenital hypothyroidism without goiter means a baby is born with a thyroid gland that doesn't work properly.It doesn't make enough of the hormone needed for normal growth and development, and the thyroid gland itself is not swollen.
Congenital hypothyroidism without goiter is a condition present at birth characterized by an underactive thyroid gland that does not produce sufficient thyroid hormone.It is distinguished by the absence of a goiter (thyroid gland swelling).Symptoms may include weakness, mental retardation, slow or arrested growth, dry skin, constipation, and cold intolerance.
Example 1: A newborn infant exhibits lethargy, feeding difficulties, and prolonged jaundice. Lab results reveal low T4 and high TSH, confirming congenital hypothyroidism.Physical examination reveals no goiter, so the diagnosis is specified as E03.1., A child presents with delayed developmental milestones, including slow speech development and motor skills.Testing confirms hypothyroidism, and the absence of a goiter leads to the diagnosis of congenital hypothyroidism without goiter (E03.1)., During a routine newborn screening, an infant is found to have low T4 levels. Follow-up testing confirms congenital hypothyroidism, and with no palpable goiter, the diagnosis is specified as E03.1. Levothyroxine treatment is started.
Documentation should include evidence of thyroid function tests (TSH, T3, T4, thyroglobulin), physical examination findings related to thyroid size (absence of goiter), and any associated developmental delays or other symptoms.Newborn screening results should also be included if applicable.
- Specialties:Endocrinology, Pediatrics, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital