E05.0 ICD-10-CM Code: Thyrotoxicosis with diffuse goiter
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 3 inclusion terms · 2 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for E05.0 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on E05.0 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Exophthalmic or toxic goiter NOS
- Graves' disease
- Toxic diffuse goiter
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- chronic thyroiditis with transient thyrotoxicosis (E06.2) Compare E05.0 vs E06.2 →
- neonatal thyrotoxicosis (P72.1) Compare E05.0 vs P72.1 →
Source: inherited from E05
Coder workflow for E05.0
MedCoder structured workflow — derived from this code’s own official record
Before you code E05.0
- E05.0 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
See the relationships section · Guide: How to choose an ICD-10-CM code →
- E05.0’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with E05.0. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath E05.0?
Yes → Select that code and continue the checks below on its own page.
No → E05.0 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in E05.0’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider E05.0. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The associated condition or complication
- Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Official instructions as workflow
Excludes1 — check before selecting E05.0(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with E05.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition E05.0 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Documentation: Only one of the components this code’s title joins is documented.
Coding question: Is E05.0 supported?
Path: Review the code for the documented component on its own.
Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name E05.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 5 Code First instructions across 3 chapters: G63 — Polyneuropathy in diseases classified elsewhere (via E05.-), G73.3 — Myasthenic syndromes in other diseases classified elsewhere (via E05.-), G99.0 — Autonomic neuropathy in diseases classified elsewhere (via E05.-), I43 — Cardiomyopathy in diseases classified elsewhere (via E05.-), M14.8 — Arthropathies in other specified diseases classified elsewhere (via E05.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Referenced by 2 Code Also instructions across 2 chapters: H05.83 — Thyroid orbitopathy, I27.29 — Other secondary pulmonary hypertension (via E05.-).
These codes suggest coding this condition alongside when both are present.
Contextual Map
Every relationship of E05.0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run E05.0 with these 7 related codes in Claim Check
Hierarchy
- E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E00-E07 — Disorders of thyroid gland[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Code First instructions
- G63 — Polyneuropathy in diseases classified elsewhere[Code First](via E05.-): “endocrine disease, except diabetes (E00-E07, E15-E16, E20-E34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G73.3 — Myasthenic syndromes in other diseases classified elsewhere[Code First](via E05.-): “thyrotoxicosis (E05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G99.0 — Autonomic neuropathy in diseases classified elsewhere[Code First](via E05.-): “hyperthyroidism (E05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I43 — Cardiomyopathy in diseases classified elsewhere[Code First](via E05.-): “thyrotoxicosis (E05.0-E05.9-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M14.8 — Arthropathies in other specified diseases classified elsewhere[Code First](via E05.-): “thyrotoxicosis [hyperthyroidism] (E05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code Also instructions
- H05.83 — Thyroid orbitopathy[Code Also]: “thyrotoxicosis with diffuse goiter (E05.0-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I27.29 — Other secondary pulmonary hypertension[Code Also](via E05.-): “hyperthyroidism (E05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (21)
- E05 — Thyrotoxicosis [hyperthyroidism][Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E05.00 — Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E05.01 — Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E05.1 — Thyrotoxicosis with toxic single thyroid nodule[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E05.10 — Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E05.11 — Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E05.2 — Thyrotoxicosis with toxic multinodular goiter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E05.20 — Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 13 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can E05.0 be billed directly?
No. E05.0 (Thyrotoxicosis with diffuse goiter) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "E05.0 — Thyrotoxicosis with diffuse goiter." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/e05.0-thyrotoxicosis-with-diffuse-goiter
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionThyrotoxicosis with diffuse goiter
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to E05.0 in its code family, with their registry titles.
- E05 — Thyrotoxicosis [hyperthyroidism]
- E05.00 — Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
- E05.01 — Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm
- E05.1 — Thyrotoxicosis with toxic single thyroid nodule
- E05.10 — Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm
- E05.11 — Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm
- E05.2 — Thyrotoxicosis with toxic multinodular goiter
- E05.20 — Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm
- E05.21 — Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm
- E05.3 — Thyrotoxicosis from ectopic thyroid tissue