ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E03.0

Billable / Specific

Congenital hypothyroidism with diffuse goiter

E03
Block
2
Synonyms
53
LCDs
5
Payer Policies
47
Linked CPTs

About ICD-10-CM E03.0

ICD-10-CM code E03.0 represents Congenital hypothyroidism with diffuse goiter. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E03). The 2026 edition of ICD-10-CM E03.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E03.0. Per CMS ICD-10-CM Tabular 2026.

  • Congenital parenchymatous goiter (nontoxic)
  • Congenital goiter (nontoxic) NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with E03.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • transitory congenital goiter with normal function (P72.0)

Medicare LCD Coverage for E03.0

Local Coverage Determinations (LCDs) from CMS MACs that list E03.0 as a covered diagnosis.

53 LCDs

Showing top 10 of 53 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93000 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93041 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93040 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93042 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93005 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93010 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01860 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 00400 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01782 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E03.0.

5 policies

2 Cigna

Head and Neck Ultrasound - (0549)
Policy ID: MM_0549
Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

2 Medicare

Billing and Coding: Electrocardiograms
Policy ID: ART-57326
Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361

1 Aetna

Infertility
Policy ID: CPB-0327

CPT Codes Commonly Billed with E03.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

47 linkages
  • 01782 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 01999 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 01829 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00400 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 01922 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00731 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00635 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00322 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00921 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 01991 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD

Convert E03.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E03.0 243 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 E03.0, Billing FAQ

Is ICD-10 code E03.0 billable? +

Yes, E03.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to E03.0? +

ICD-10 E03.0 includes: Congenital parenchymatous goiter (nontoxic); Congenital goiter (nontoxic) NOS.

What codes are Type 1 Excludes for E03.0? +

Type 1 Excludes (never code together with E03.0): transitory congenital goiter with normal function (P72.0)

What CPT codes are commonly billed with E03.0? +

Procedures frequently paired with E03.0 include: 01782, 01999, 01829, 00400, 01922.

What ICD-9 codes does E03.0 map to? +

Per CMS GEMs, E03.0 maps to ICD-9 codes: 243. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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