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Home/Diagnosis/ICD-10 Coding for Familial Hyperlipidemia

ICD-10 Coding for Familial Hyperlipidemia

E78.01
Z83.42

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

Also Known as:
Familial Hypercholesterolemia
Genetic Hyperlipidemia
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Key Information: ICD-10 Coding for Familial Hyperlipidemia

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

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 in adults
  • • Genetic testing confirming LDLR/APOB/PCSK9 mutation
  • • Presence of tendon xanthomas
documentation:
  • • Specific mention of familial hypercholesterolemia

Applicable To

  • • Genetic hyperlipidemia
  • • LDL receptor defect

Important Notes

  • • Ensure documentation specifies familial hypercholesterolemia and includes genetic or clinical validation.

Family history of familial hypercholesterolemia

Billable Code
Z83.42
Billable

Diagnostic Criteria

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

Important Notes

  • • Ensure family history is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z83.42

Family history of familial hypercholesterolemia

Use when there is a family history of FH but the patient is not diagnosed.

Frequently Asked Questions

What is the ICD-10 code for familial hyperlipidemia?

The ICD-10 code for familial hyperlipidemia is E78.01, used for confirmed cases of familial hypercholesterolemia.

How do you document familial hyperlipidemia?

Document familial hyperlipidemia by including genetic test results, LDL-C levels, and family history of cardiovascular disease.

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