E03.0 vs Q89.2
E03.0 and Q89.2 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
Congenital hypothyroidism with diffuse goiter
- Chapter 4
- Endocrine, nutritional and metabolic diseases
- Section
- E00-E07
- Congenital parenchymatous goiter (nontoxic)
- Congenital goiter (nontoxic) NOS
- Goiter › congenital (plunging) (substernal)
- Goiter › congenital › diffuse (plunging) (substernal)
- Goiter › congenital › parenchymatous (plunging) (substernal)
- Hypothyroidism › congenital › with goiter (acquired)
Congenital malformations of other endocrine glands
- Chapter 17
- Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
- Section
- Q80-Q89
- Congenital malformation of parathyroid or thyroid gland
- Persistent thyroglossal duct
- Thyroglossal cyst
- Retrosternal thyroid (congenital)
- Thyrolingual duct, persistent
- Aberrant › endocrine gland NEC (congenital)
- Aberrant › parathyroid gland (congenital)
- Aberrant › pituitary gland (congenital)
These two codes sit in different chapters of the Tabular List, which is usually the clearest signal that they describe different underlying processes rather than different degrees of the same one.
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027