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

ICD-10 E03.4

Billable / Specific

Atrophy of thyroid (acquired)

E03
Block
0
Synonyms
37
LCDs
7
Payer Policies
1
Linked CPTs

About ICD-10-CM E03.4

ICD-10-CM code E03.4 represents Atrophy of thyroid (acquired). This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E03). The 2026 edition of ICD-10-CM E03.4 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with E03.4. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • congenital atrophy of thyroid (E03.1)

Medicare LCD Coverage for E03.4

Local Coverage Determinations (LCDs) from CMS MACs that list E03.4 as a covered diagnosis.

37 LCDs

Showing top 10 of 37 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
Article ID: 57029, Effective: 2022-10-01 00:00:00, 80 covered, 1 non-covered
CPT 76536 →
CMS LCD: Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Article ID: 56729, Effective: 2025-10-01 00:00:00, 1057 covered, 0 non-covered
CPT 70543 →
CMS LCD: Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Article ID: 56729, Effective: 2025-10-01 00:00:00, 1057 covered, 0 non-covered
CPT 70542 →
CMS LCD: Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Article ID: 56729, Effective: 2025-10-01 00:00:00, 1057 covered, 0 non-covered
CPT 70540 →
CMS LCD: Billing and Coding: Computerized Axial Tomography (CT), Thorax
Article ID: 56580, Effective: 2025-10-01 00:00:00, 3544 covered, 0 non-covered
CPT 71270 →
CMS LCD: Billing and Coding: Computerized Axial Tomography (CT), Thorax
Article ID: 56580, Effective: 2025-10-01 00:00:00, 3544 covered, 0 non-covered
CPT 71260 →
CMS LCD: Billing and Coding: Computerized Axial Tomography (CT), Thorax
Article ID: 56580, Effective: 2025-10-01 00:00:00, 3544 covered, 0 non-covered
CPT 71250 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E03.4.

7 policies

2 Cigna

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

5 Medicare

Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
Policy ID: ART-57029
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Sedimentation Rate, Erythrocyte
Policy ID: ART-57657

CPT Codes Commonly Billed with E03.4

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

1 linkages
  • 76536 CMS LCD: Billing and Coding: Ultrasound, Soft Tissues of Head and Neck CMS LCD

Convert E03.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
E03.4 2468 10000

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

ICD-10 E03.4, Billing FAQ

Is ICD-10 code E03.4 billable? +

Yes, E03.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for E03.4? +

Type 1 Excludes (never code together with E03.4): congenital atrophy of thyroid (E03.1)

What CPT codes are commonly billed with E03.4? +

Procedures frequently paired with E03.4 include: 76536.

What ICD-9 codes does E03.4 map to? +

Per CMS GEMs, E03.4 maps to ICD-9 codes: 2468. 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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