Valid for Submission
E03.0 is a billable diagnosis code used to specify a medical diagnosis of congenital hypothyroidism with diffuse goiter. The code E03.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code E03.0 might also be used to specify conditions or terms like congenital hypothyroidism with diffuse goiter or congenital iodine deficiency syndrome.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code E03.0:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Congenital parenchymatous goiter (nontoxic)
- Congenital goiter (nontoxic) NOS
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- transitory congenital goiter with normal function P72.0
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code E03.0 are found in the index:
- - Goiter (plunging) (substernal) - E04.9
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Congenital hypothyroidism with diffuse goiter
- Congenital iodine deficiency syndrome
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|643||ENDOCRINE DISORDERS WITH MCC||10||1.6633|
|644||ENDOCRINE DISORDERS WITH CC||10||1.0183|
|645||ENDOCRINE DISORDERS WITHOUT CC/MCC||10||0.7678|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert E03.0 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code E03.0 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
What is hypothyroidism?
Hypothyroidism, or underactive thyroid, happens when your thyroid gland doesn't make enough thyroid hormones to meet your body's needs.
Your thyroid is a small, butterfly-shaped gland in the front of your neck. It makes hormones that control the way the body uses energy. These hormones affect nearly every organ in your body and control many of your body's most important functions. For example, they affect your breathing, heart rate, weight, digestion, and moods. Without enough thyroid hormones, many of your body's functions slow down. But there are treatments that can help.
What causes hypothyroidism?
Hypothyroidism has several causes. They include
- Hashimoto's disease, an autoimmune disorder where your immune system attacks your thyroid. This is the most common cause.
- Thyroiditis, inflammation of the thyroid
- Congenital hypothyroidism, hypothyroidism that is present at birth
- Surgical removal of part or all of the thyroid
- Radiation treatment of the thyroid
- Certain medicines
- In rare cases, a pituitary disease or too much or too little iodine in your diet
Who is at risk for hypothyroidism?
You are at higher risk for hypothyroidism if you
- Are a woman
- Are older than age 60
- Have had a thyroid problem before, such as a goiter
- Have had surgery to correct a thyroid problem
- Have received radiation treatment to the thyroid, neck, or chest
- Have a family history of thyroid disease
- Were pregnant or had a baby in the past 6 months
- Have Turner syndrome, a genetic disorder that affects females
- Have pernicious anemia, in which the body cannot make enough healthy red blood cells because it does not have enough vitamin B12
- Have Sjogren's syndrome, a disease that causes dry eyes and mouth
- Have type 1 diabetes
- Have rheumatoid arthritis, an autoimmune disease that affects the joints
- Have lupus, a chronic autoimmune disease
What are the symptoms of hypothyroidism?
The symptoms of hypothyroidism can vary from person to person and may include
- Weight gain
- A puffy face
- Trouble tolerating cold
- Joint and muscle pain
- Dry skin
- Dry, thinning hair
- Decreased sweating
- Heavy or irregular menstrual periods
- Fertility problems in women
- Slowed heart rate
- Goiter, an enlarged thyroid that may cause your neck to look swollen. Sometimes it can cause trouble with breathing or swallowing.
Because hypothyroidism develops slowly, many people don't notice symptoms of the disease for months or even years.
What other problems can hypothyroidism cause?
Hypothyroidism can contribute to high cholesterol. In rare cases, untreated hypothyroidism can cause myxedema coma. This is a condition in which your body's functions slow down to the point that it becomes life-threatening.
During pregnancy, hypothyroidism can cause complications, such as premature birth, high blood pressure in pregnancy, and miscarriage. It can also slow the baby's growth and development.
How is hypothyroidism diagnosed?
Your health care provider may use many tools to make a diagnosis:
- A medical history, including asking about your symptoms
- A physical exam
- Thyroid tests, such as
- TSH, T3, T4, and thyroid antibody blood tests
- Imaging tests, such as a thyroid scan, ultrasound, or radioactive iodine uptake test. A radioactive iodine uptake test measures how much radioactive iodine your thyroid takes up from your blood after you swallow a small amount of it.
What are the treatments for hypothyroidism?
The treatment for hypothyroidism is medicine to replace the hormone that your own thyroid can no longer make. About 6 to 8 weeks after you start taking the medicine, you will get a blood test to check your thyroid hormone level. Your health care provider will adjust your dose if needed. Each time your dose is adjusted, you'll have another blood test. Once you find the right dose, you will probably get a blood test in 6 months. After that, you will need the test once a year.
If you take your medicine according to the instructions, you usually should be able to control the hypothyroidism. You should never stop taking your medicine without talking with your health care provider first.
If you have Hashimoto's disease or other types of autoimmune thyroid disorders, you may be sensitive to harmful side effects from iodine. Talk to your health care provider about which foods, supplements, and medicines you need to avoid.
Women need more iodine when they are pregnant because the baby gets iodine from the mother's diet. If you are pregnant, talk with your health care provider about how much iodine you need.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
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Congenital hypothyroidism is a partial or complete loss of function of the thyroid gland (hypothyroidism) that affects infants from birth (congenital). The thyroid gland is a butterfly-shaped tissue in the lower neck. It makes iodine-containing hormones that play an important role in regulating growth, brain development, and the rate of chemical reactions in the body (metabolism). People with congenital hypothyroidism have lower-than-normal levels of these important hormones.
Congenital hypothyroidism occurs when the thyroid gland fails to develop or function properly. In 80 to 85 percent of cases, the thyroid gland is absent, severely reduced in size (hypoplastic), or abnormally located. These cases are classified as thyroid dysgenesis. In the remainder of cases, a normal-sized or enlarged thyroid gland (goiter) is present, but production of thyroid hormones is decreased or absent. Most of these cases occur when one of several steps in the hormone synthesis process is impaired; these cases are classified as thyroid dyshormonogenesis. Less commonly, reduction or absence of thyroid hormone production is caused by impaired stimulation of the production process (which is normally done by a structure at the base of the brain called the pituitary gland), even though the process itself is unimpaired. These cases are classified as central (or pituitary) hypothyroidism.
Signs and symptoms of congenital hypothyroidism result from the shortage of thyroid hormones. Affected babies may show no features of the condition, although some babies with congenital hypothyroidism are less active and sleep more than normal. They may have difficulty feeding and experience constipation. If untreated, congenital hypothyroidism can lead to intellectual disability and slow growth. In the United States and many other countries, all hospitals test newborns for congenital hypothyroidism. If treatment begins in the first two weeks after birth, infants usually develop normally.
Congenital hypothyroidism can also occur as part of syndromes that affect other organs and tissues in the body. These forms of the condition are described as syndromic. Some common forms of syndromic hypothyroidism include Pendred syndrome, Bamforth-Lazarus syndrome, and brain-lung-thyroid syndrome.
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