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Home/Diagnosis/ICD-10 Coding for Cholesterol Disorders

ICD-10 Coding for Cholesterol Disorders

E78.0
E78.1
E78.2

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

Also Known as:
Hyperlipidemia
Dyslipidemia
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Key Information: ICD-10 Coding for Cholesterol Disorders

Essential facts and insights about ICD-10 Coding for Cholesterol Disorders

Use ICD-10 code E78.0 for pure hypercholesterolemia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pure hypercholesterolemia

Non-Billable
E78.0
Non-Billable

Diagnostic Criteria

clinical:
  • • LDL-C levels must be ≥190 mg/dL

Applicable To

  • • Familial hypercholesterolemia

Important Notes

  • • Ensure LDL-C levels are documented and meet the threshold for this code.

Pure hypertriglyceridemia

Billable Code
E78.1
Billable

Important Notes

  • • Document triglyceride levels to support this code.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Important Notes

  • • Ensure both LDL-C and triglyceride levels are documented.

Encounter for screening for lipoid disorders

Billable Code
Z13.220
Billable

Important Notes

  • • Ensure no prior diagnosis of hyperlipidemia is present.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z13.220

Encounter for screening for lipoid disorders

Use for routine screening without a prior diagnosis.

Frequently Asked Questions

What is the ICD-10 code for high cholesterol?

The ICD-10 code for pure hypercholesterolemia is E78.0, used when LDL-C levels are elevated without elevated triglycerides.

When should Z13.220 be used?

Use Z13.220 for routine cholesterol screening without a prior diagnosis of a cholesterol disorder.

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