E03.1
E03.1: Congenital hypothyroidism without goiter
Billable / specific codeICD-10-CM
E03.1 is a billable, specific ICD-10-CM code for congenital hypothyroidism without goiter. It is valid for submission on a claim.
Check E03.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Aplasia of thyroid (with myxedema)
- Congenital atrophy of thyroid
- Congenital hypothyroidism NOS
Other codes that can never be billed with E03.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E03.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57326Billing and Coding: Electrocardiograms
- A57361Billing and Coding: Monitored Anesthesia Care
Alphabetic index entries that lead here
- Agenesis›thyroid(gland)
- Aplasia›thyroid(congenital) (with myxedema)
- Athyrea›congenital
- Hypoplasia, hypoplastic›thyroid(gland)
- Hypothyroidism›congenital(without goiter)
- Subthyroidism›congenital
- Absence›thyroid›congenital
- Atrophy, atrophic›thyroid›congenital(with myxedema)
- Atrophy, atrophic›thyroid›with cretinism
- Insufficiency, insufficient›thyroid›congenital
- Jaundice›newborn›due to or associated with›hypothyroidism, congenital
Code history
Unchanged in every release from FY2024 to FY2027.