Skip to Main Content

++

Condition/Disorder Synonym

++

  • Enlarged thyroid

++

ICD-9-CM Codes

++

  • 240.9 Goiter, unspecified

  • 241.0 Nontoxic uninodular goiter

  • 241.1 Nontoxic multinodular goiter

  • 241.9 Unspecified nontoxic nodular goiter

  • 242 Thyrotoxicosis with or without goiter

  • 242.0 Toxic diffuse goiter

  • 242.00 Toxic diffuse goiter without mention of thyrotoxic crisis or storm

  • 242.01 Toxic diffuse goiter with mention of thyrotoxic crisis or storm

  • 242.1 Toxic uninodular goiter

  • 242.10 Toxic uninodular goiter without mention of thyrotoxic crisis or storm

  • 242.11 Toxic uninodular goiter with mention of thyrotoxic crisis or storm

  • 242.2 Toxic multinodular goiter

  • 242.20 Toxic multinodular goiter without mention of thyrotoxic crisis or storm

  • 242.21 Toxic multinodular goiter with mention of thyrotoxic crisis or storm

  • 242.3 Toxic nodular goiter unspecified type

  • 242.30 Toxic nodular goiter, unspecified type, without mention of thyrotoxic crisis or storm

  • 242.31 Toxic nodular goiter, unspecified type, with mention of thyrotoxic crisis or storm

  • 242.40 Thyrotoxicosis from ectopic thyroid nodule without mention of thyrotoxic crisis or storm

++

ICD-10-CM Codes

++

  • E01.1 Iodine-deficiency related multinodular (endemic) goiter

  • E01.2 Iodine-deficiency related (endemic) goiter, unspecified

  • E03.0 Congenital hypothyroidism with diffuse goiter

  • E03.1 Congenital hypothyroidism without goiter

  • E04 Other nontoxic goiter

  • E04.0 Nontoxic diffuse goiter

  • E04.2 Nontoxic multinodular goiter

  • E04.8 Other specified nontoxic goiter

  • E04.9 Nontoxic goiter, unspecified

  • E05.00 Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm

  • E05.0 Thyrotoxicosis with diffuse goiter

  • E05.2 Thyrotoxicosis with toxic multinodular goiter

  • E07.1 Dyshormogenetic goiter

  • P72.0 Neonatal goiter, not elsewhere classified

++

Preferred Practice Patterns

++
++

Key Features

++

Description

++

  • Enlarged thyroid gland, can result in decreased production of thyroid hormone

  • Prolonged elevation of thyroid stimulating hormone (TSH)

  • Weight gain or loss

  • May range from single or small nodules to significant enlargement

  • Multinodular goiter 4

  • Enlargement can limit neck mobility and swallowing

++

Essentials of Diagnosis

++

  • Fatigue

  • Decreased activity tolerance

  • Sensitivity to cold

  • Abnormal thyroid function tests

  • Thyroid enlargment

++

General Considerations

++

  • Diagnosis for more occult problems may take time and require intensive diagnostic testing, inability to afford testing and medications, noncompliance with medication regimen

  • May cause pathology in multiple organ systems

    • GI: liver

    • Cardiovascular: heart, peripheral circulation, blood pressure

    • Integumentary

  • May result in secondary problems indicating need for PT intervention: aerobic capacity and muscle endurance impairment, sarcopenia, weakness, musculoskeletal problems, neuromuscular problems, weight gain

  • Hyperlipidemia

  • Can result in hyperthyroid

++

Demographics

++

  • Can occur in anyone throughout lifespan, beginning at birth (1 in 4,000 infants affected)

  • Estimated 5 million people affected in the U.S., and an equal number undiagnosed

  • Higher incidence in women and people aged 60 years and older

++

Clinical Findings

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.