E04.9 Nontoxic goiter, unspecified

The ICD-10-CM code for Nontoxic goiter, unspecified is E04.9 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

4: Endocrine, nutritional and metabolic diseases (E00-E89)

Section

E00-E07: Disorders of thyroid gland (E00-E07)

Category E04

6 codes (5 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to E04.9:

• Substernal thyroid
• Goiter (plunging) (substernal)
• Adenomatous › goiter (nontoxic)
• Goiter (plunging) (substernal) › nodular (nontoxic) (due to)
• Goiter (plunging) (substernal) › nontoxic
• Struma › nodosa (simplex)
• Goiter (plunging) (substernal) › nodular (nontoxic) (due to) › sporadic

Inclusion Terms

• Goiter NOS
• Nodular goiter (nontoxic) NOS

U.S. Hospital Utilization

• An estimated 21,995 U.S. inpatient stays in 2023 included E04.9 among the documented diagnoses.
• 750 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Diabetes mellitus (TOC entry)

a. Diabetes mellitus ................................................................................................................... 39

Obesity (TOC entry)

b. Obesity .................................................................................................................................. 42

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)