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Home/Diagnosis/ICD-10 Coding for Cholesterolemia

ICD-10 Coding for Cholesterolemia

E78.00
E78.01

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

Also Known as:
High Cholesterol
Hypercholesterolemia
Familial Hypercholesterolemia
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Key Information: ICD-10 Coding for Cholesterolemia

Essential facts and insights about ICD-10 Coding for Cholesterolemia

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

  • • LDL-C ≥190 mg/dL without triglyceride elevation

Applicable To

  • • High cholesterol
  • • Elevated LDL without triglyceride elevation

Important Notes

  • • Ensure documentation supports pure hypercholesterolemia without familial or mixed characteristics.

Familial hypercholesterolemia

Billable Code
E78.01
Billable

Diagnostic Criteria

  • • LDL-C ≥190 mg/dL
  • • Family history of premature ASCVD or genetic confirmation

Applicable To

  • • Genetic hypercholesterolemia
  • • Presence of tendon xanthomas

Important Notes

  • • Document family history or genetic test results to support coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z13.220

Screening for lipid disorders

Use for routine screening without prior diagnosis

Frequently Asked Questions

What is the ICD-10 code for cholesterolemia?

The ICD-10 code for unspecified pure hypercholesterolemia is E78.00, while familial hypercholesterolemia is coded as E78.01.

How do you code familial hypercholesterolemia?

Familial hypercholesterolemia is coded as E78.01, requiring documentation of LDL-C ≥190 mg/dL and family history of premature ASCVD.

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