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Current RMA Instruments:
|Reasonabel Hypothesis SOP||23 of 2013|
|Balance of Probabilities SOP||24 of 2013|
Changes from Previous Instruments:
- ICD-9-CM Codes: 240,241, 242.1-242.3, 226
- ICD-10-AM Codes: E01.0, E01.1, E01.2, E04, E05.1, E05.2
Goitre is an enlargement of the thyroid gland. Not all goitres are covered by this SOP.
Is specific diagnostic evidence required to apply the SOP? – No.
Diagnosis will generally be made by an endocrinologist, or by imaging evidence showing enlargement. Further evidence will be needed to show the absence of Hashimoto’s thyroiditis, Graves’ disease, malignant neoplasm of the thyroid gland and other excluded conditions.
Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP
- Adenoma of the thyroid
- Non-toxic uninodular or multinodular goitre
- Simple goitre
- Toxic uninodular or multinodular goitre
Conditions excluded from SOP
- Acute radiation thyroiditis, ICD code 245.0
- Acute suppurative thyroiditis, ICD code 245.0
- Basedow’s disease, ICD code 242.0
- De Quervain’s thyroiditis, ICD code 245.1
- Diffuse toxic goitre, ICD code 242.0
- Dyshormonogenic goitre, ICD code 246.1
- Graves’ disease, ICD code 242.0
- Haemorrhage or infarction of the thyroid gland, ICD code 246.3
- Hashimoto’s thyroiditis, ICD code 245.2
- Malignant neoplasm of the thyroid gland, ICD code 193
- Riedel’s thyroiditis, ICD code 245.3
- Silent thyroiditis, ICD code 245.8
- Congenital goitre, ICD code 243
If, after considering the above information you are unable to apply the SOP, you should then:
- seek medical officer advice about further investigation, or;
- generate a diagnostic report, or;
- re-encode the condition, if appropriate.
The following investigations may be useful in establishing the diagnosis.
- report from treating specialist
- ultrasound or other imaging of thyroid gland