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E03.1

E03.1Congenital 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.

Inclusion 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

These codes carry an Excludes1 note pointing at E03.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E03.1 alone.

  • P72Other transitory neonatal endocrine disorders
  • Q89.2Congenital malformations of other endocrine glands
  • E03.4Atrophy of thyroid (acquired)

Risk adjustment

E03.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

E03.1 is named in 2 Medicare coverage policies 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A57326Billing and Coding: Electrocardiograms
  • A57361Billing and Coding: Monitored Anesthesia Care

How E03.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E03.1.

  • Agenesisthyroid(gland)
  • Aplasiathyroid(congenital) (with myxedema)
  • Athyreacongenital
  • Hypoplasia, hypoplasticthyroid(gland)
  • Hypothyroidismcongenital(without goiter)
  • Subthyroidismcongenital
  • Absencethyroidcongenital
  • Atrophy, atrophicthyroidcongenital(with myxedema)
  • Atrophy, atrophicthyroidwith cretinism
  • Insufficiency, insufficientthyroidcongenital
  • Jaundicenewborndue to or associated withhypothyroidism, congenital

Related codes at this level

Codes that share E03. If E03.1 is not quite right, the correct code is usually one of these.

Questions about E03.1

Is E03.1 a billable ICD-10-CM code?
Yes. E03.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E03.1 sit in the tabular list?
Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of thyroid gland (E00-E07).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.