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

ICD-10 E07.1

Billable / Specific

Dyshormogenetic goiter

E07
Block
4
Synonyms
32
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM E07.1

ICD-10-CM code E07.1 represents Dyshormogenetic goiter. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E07). The 2026 edition of ICD-10-CM E07.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E07.1. Per CMS ICD-10-CM Tabular 2026.

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

Type 1 Excludes

Pure excludes, these codes can never be coded together with E07.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

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

Medicare LCD Coverage for E07.1

Local Coverage Determinations (LCDs) from CMS MACs that list E07.1 as a covered diagnosis.

32 LCDs

Showing top 10 of 32 total . Click a CPT for full coverage scope.

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: 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 →
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 70336 →
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 72142 →
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 70450 →
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 72127 →
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 70551 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E07.1.

3 policies

3 Medicare

Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
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

CPT Codes Commonly Billed with E07.1

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

No procedure linkages on file for E07.1

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert E07.1 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
E07.1 2461 00000

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

ICD-10 E07.1, Billing FAQ

Is ICD-10 code E07.1 billable? +

Yes, E07.1 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 E07.1? +

ICD-10 E07.1 includes: Dyshormonogenetic goiter; Familial dyshormogenetic goiter; Familial dyshormonogenetic goiter, and 1 more clinical synonyms.

What codes are Type 1 Excludes for E07.1? +

Type 1 Excludes (never code together with E07.1): transitory congenital goiter with normal function (P72.0)

What ICD-9 codes does E07.1 map to? +

Per CMS GEMs, E07.1 maps to ICD-9 codes: 2461. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

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

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included