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Home/Diagnosis/ICD-10 Coding for High Cholesterol

ICD-10 Coding for High Cholesterol

E78.0
E78.2

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

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

Essential facts and insights about ICD-10 Coding for High Cholesterol

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_criteria:
  • • LDL cholesterol level ≥190 mg/dL
  • • triglycerides <200 mg/dL

Applicable To

  • • Elevated LDL cholesterol without elevated triglycerides

Important Notes

  • • Ensure LDL levels are documented within the past 12 months.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

clinical_criteria:
  • • LDL cholesterol level ≥160 mg/dL
  • • Triglycerides ≥200 mg/dL

Applicable To

  • • Elevated LDL cholesterol with elevated triglycerides

Important Notes

  • • Document both LDL and triglyceride levels clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

I25.10

Atherosclerotic heart disease of native coronary artery without angina pectoris

Use when atherosclerosis is present as a complication of hypercholesterolemia.

Frequently Asked Questions

What is the ICD-10 code for high cholesterol?

The ICD-10 code for high cholesterol is E78.0 for pure hypercholesterolemia, used when LDL cholesterol is ≥190 mg/dL without elevated triglycerides.

How do you code mixed hyperlipidemia?

Use ICD-10 code E78.2 for mixed hyperlipidemia when both LDL cholesterol is ≥160 mg/dL and triglycerides are ≥200 mg/dL.

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