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Home/Diagnosis/ICD-10 Coding for Familial Hypercholesterolemia

ICD-10 Coding for Familial Hypercholesterolemia

E78.01
Z83.42

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

Also Known as:
FH
Hereditary Hypercholesterolemia
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Key Information: ICD-10 Coding for Familial Hypercholesterolemia

Essential facts and insights about ICD-10 Coding for Familial Hypercholesterolemia

Use ICD-10 code E78.01 for familial hypercholesterolemia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Familial hypercholesterolemia

Billable Code
E78.01
Billable

Diagnostic Criteria

clinical:
  • • LDL-C ≥190 mg/dL
  • • Genetic testing confirming LDLR, APOB, or PCSK9 variant
  • • Presence of tendon xanthomas
documentation:
  • • Documented family history of FH with genetic confirmation

Applicable To

  • • Genetic hypercholesterolemia
  • • Heterozygous familial hypercholesterolemia

Important Notes

  • • Ensure genetic testing results and LDL-C levels are documented to support the use of E78.01.

Family history of familial hypercholesterolemia

Billable Code
Z83.42
Billable

Diagnostic Criteria

clinical:
  • • Documented family history of FH in first or second-degree relatives

Applicable To

  • • Family history of genetic hypercholesterolemia

Important Notes

  • • Ensure family history is clearly documented, including the specific relative and their diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z83.42

Family history of familial hypercholesterolemia

Use when documenting family history relevant to patient care, such as cascade screening.

Frequently Asked Questions

What is the ICD-10 code for familial hypercholesterolemia?

The ICD-10 code for familial hypercholesterolemia is E78.01, used for confirmed genetic cases with elevated LDL-C levels.

How do you document familial hypercholesterolemia?

Document familial hypercholesterolemia by including genetic test results, LDL-C levels, and family history details in the patient's medical record.

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