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Home/Diagnosis/ICD-10 Coding for Elevated Lipids

ICD-10 Coding for Elevated Lipids

E78.0
E78.1
E78.2

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

Also Known as:
Hyperlipidemia
Dyslipidemia
High Cholesterol
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Key Information: ICD-10 Coding for Elevated Lipids

Essential facts and insights about ICD-10 Coding for Elevated Lipids

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 ≥190 mg/dL

Applicable To

  • • Isolated elevated LDL

Important Notes

  • • Ensure LDL levels are documented and meet the threshold.

Pure hyperglyceridemia

Billable Code
E78.1
Billable

Diagnostic Criteria

clinical:
  • • Triglycerides ≥200 mg/dL

Applicable To

  • • Isolated elevated triglycerides

Important Notes

  • • Ensure triglyceride levels are documented and meet the threshold.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥160 mg/dL and triglycerides ≥150 mg/dL

Applicable To

  • • Elevated LDL and triglycerides

Important Notes

  • • Document both LDL and triglyceride levels clearly.

Hyperlipidemia, unspecified

Billable Code
E78.5
Billable

Diagnostic Criteria

clinical:
  • • Lack of specific lipid type documentation

Applicable To

  • • Unspecified lipid elevation

Important Notes

  • • Query provider for clarification if possible.
Ancillary Codes

Additional codes that may be used with this diagnosis

I25.10

Atherosclerosis of native coronary artery without angina pectoris

Use when atherosclerosis is documented alongside hyperlipidemia.

Frequently Asked Questions

What is the ICD-10 code for elevated lipids?

The ICD-10 codes for elevated lipids include E78.0 for pure hypercholesterolemia, E78.1 for pure hyperglyceridemia, and E78.2 for mixed hyperlipidemia.

When should E78.5 be used?

Use E78.5 when the type of lipid elevation is unspecified and cannot be determined from the documentation.

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