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Home/Diagnosis/ICD-10 Coding for Abnormal Total Cholesterol

ICD-10 Coding for Abnormal Total Cholesterol

E78.00
E78.01
E78.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abnormal total cholesterol includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
High Cholesterol
Hypercholesterolemia
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Key Information: ICD-10 Coding for Abnormal Total Cholesterol

Essential facts and insights about ICD-10 Coding for Abnormal Total Cholesterol

Use ICD-10 code E78.00 for pure hypercholesterolemia, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pure hypercholesterolemia, unspecified

Billable Code
E78.00
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥190 mg/dL without secondary causes
documentation:
  • • Document LDL levels and exclusion of secondary causes

Applicable To

  • • Unspecified pure hypercholesterolemia

Important Notes

  • • Ensure LDL levels and exclusion of secondary causes are documented.

Familial hypercholesterolemia

Billable Code
E78.01
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥190 mg/dL
  • • Family history of premature cardiovascular disease
  • • Genetic testing results if available

Applicable To

  • • Genetically confirmed familial hypercholesterolemia

Important Notes

  • • Document family history and genetic testing results.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥160 mg/dL
  • • Triglycerides ≥200 mg/dL

Applicable To

  • • Elevated LDL and triglycerides

Important Notes

  • • Ensure both LDL and triglyceride levels are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z13.220

Screening for lipid disorder

Use for asymptomatic patients undergoing routine lipid panel screening.

Frequently Asked Questions

What is the ICD-10 code for abnormal total cholesterol?

The ICD-10 code for unspecified pure hypercholesterolemia is E78.00, used when LDL is ≥190 mg/dL without secondary causes.

How do you code familial hypercholesterolemia?

Familial hypercholesterolemia is coded as E78.01, requiring genetic confirmation or family history of premature cardiovascular disease.

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