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Home/Diagnosis/ICD-10 Coding for Dyslipidemia

ICD-10 Coding for Dyslipidemia

E78.0
E78.2
E78.5

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

Also Known as:
Hyperlipidemia
Hypercholesterolemia
Mixed Hyperlipidemia
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Key Information: ICD-10 Coding for Dyslipidemia

Essential facts and insights about ICD-10 Coding for Dyslipidemia

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 ≥190 mg/dL
documentation:
  • • Document familial history if present.

Applicable To

  • • Familial hypercholesterolemia

Important Notes

  • • Ensure LDL-C levels are documented and familial history is noted if applicable.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

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

Applicable To

  • • Combined hyperlipidemia

Important Notes

  • • Document both LDL-C and triglyceride levels.

Unspecified hyperlipidemia

Billable Code
E78.5
Billable

Diagnostic Criteria

clinical:
  • • Lipid levels not specified

Applicable To

  • • Hyperlipidemia NOS

Important Notes

  • • Use only when specific lipid levels are not available.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long-term (current) use of lipid-lowering agents

Use when the patient is on long-term statin therapy.

Frequently Asked Questions

What is the ICD-10 code for dyslipidemia?

The ICD-10 code for dyslipidemia includes E78.0 for pure hypercholesterolemia, E78.2 for mixed hyperlipidemia, and E78.5 for unspecified hyperlipidemia.

How do you code mixed hyperlipidemia?

Mixed hyperlipidemia is coded as E78.2, used when both LDL-C and triglycerides are elevated.

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