2025 ICD-10-CM Diagnosis Code E04.9

Nontoxic goiter, unspecified

  • E04.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2025 edition of ICD-10-CM E04.9 became effective on October 1, 2024.
  • This is the American ICD-10-CM version of E04.9 – other international versions of ICD-10 E04.9 may differ.

Applicable To

  • Goiter NOS
  • Nodular goiter (nontoxic) NOS

The following code(s) above E04.9 contain annotation back-references

 that may be applicable to E04.9:

  • E00-E89  Endocrine, nutritional and metabolic diseases
  • E04  Other nontoxic goiter

Approximate Synonyms

  • Adenomatous goiter
  • Autonomous goiter
  • Autonomously functioning thyroid goiter
  • Euthyroid goiter
  • Goiter
  • Goiter due to thyroiditis
  • Goiter, euthyroid
  • Goiter, substernal
  • Non-toxic nodular goiter
  • Substernal goiter
  • Thyroid goiter
  • Thyroid goiter, adenomatous
  • Thyroid goiter, nontoxic, nodular
  • Thyroiditis unspecified, with goiter

Clinical Information

  • An enlarged thyroid. It may be caused by too little iodine in the diet or by other conditions. Most goiters are not cancer.
  • Enlargement of the thyroid gland that may increase from about 20 grams to hundreds of grams in human adults. Goiter is observed in individuals with normal thyroid function (euthyroidism), thyroid deficiency (hypothyroidism), or hormone overproduction (hyperthyroidism). Goiter may be congenital or acquired, sporadic or endemic (goiter, endemic).
  • Enlargement of the thyroid gland usually caused by lack of iodine in the diet, hyperthyroidism, or thyroid nodules. Symptoms include difficulty in breathing and swallowing.
  • Enlargement of the thyroid gland.

ICD-10-CM E04.9 is grouped within Diagnostic Related Group(s) (MS-DRG v42.0):

  • 643 Endocrine disorders with mcc
  • 644 Endocrine disorders with cc
  • 645 Endocrine disorders without cc/mcc

Convert E04.9 to ICD-9-CMCode History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • 2024 (effective 10/1/2023): No change
  • 2025 (effective 10/1/2024): No change

Diagnosis Index entries containing back-references to E04.9:

  • Adenomatous
    • goiter (nontoxic) E04.9
  • Goiter (plunging) (substernal) E04.9
    • nodular (nontoxic) (due to) E04.9
      • sporadic E04.9
    • nontoxic E04.9
  • Struma – see also Goiter
    • nodosa (simplex) E04.9
  • Substernal thyroid E04.9
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