Thyrotxcosis w toxic multinod goiter w/o thyrotoxic crisis

This code signifies an overactive thyroid gland (hyperthyroidism) caused by the presence of multiple nodules within the thyroid that are autonomously producing excessive thyroid hormones. This condition is characterized by symptoms of thyrotoxicosis, such as weight loss, palpitations, and heat intolerance, but without the acute, life-threatening exacerbation known as a thyroid storm or crisis.

Use this code when documentation confirms hyperthyroidism directly attributable to a multinodular goiter, and specifically states that a thyrotoxic crisis or storm is not present. This diagnosis is typically supported by elevated thyroid hormone levels (T3, T4) and suppressed TSH, along with imaging (e.g., ultrasound) showing multiple thyroid nodules.

• Ensure documentation explicitly rules out "thyrotoxic crisis" or "thyroid storm" to use this specific code.
• Distinguish from other forms of thyrotoxicosis, such as Graves' disease (E05.0-) or toxic single thyroid nodule (E05.1-).
• If the patient is experiencing a thyrotoxic crisis, a more specific code from the E05.21 category would be appropriate.