Is E07.1 a billable ICD-10-CM code?

Yes. E07.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does E07.1 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of thyroid gland (E00-E07).

What cannot be coded together with E07.1?

E07.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

E07.1

E07.1 — Dyshormogenetic goiter

Billable / specific codeICD-10-CM

E07.1 is a billable, specific ICD-10-CM code for dyshormogenetic goiter. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

transitory congenital goiter with normal function (P72.0)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Dyshormonogenetic goiter
Familial dyshormogenetic goiter
Familial dyshormonogenetic goiter
Pendred's syndrome

Other codes that can never be billed with E07.1

These codes carry an Excludes1 note pointing at E07.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E07.1 alone.

P72Other transitory neonatal endocrine disorders

Risk adjustment

E07.1 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

E07.1 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A57029Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How E07.1 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 E07.1.

Goiter-deafness syndrome
Pendred's syndrome
Goiter›dyshormonogenetic(familial)
Syndrome›goiter-deafness
Goiter›due to›enzyme defect in synthesis of thyroid hormone

Related codes at this level

Codes that share E07. If E07.1 is not quite right, the correct code is usually one of these.

Questions about E07.1

Is E07.1 a billable ICD-10-CM code?: Yes. E07.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E07.1 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of thyroid gland (E00-E07).
What cannot be coded together with E07.1?: E07.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.