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Home/Diagnosis/ICD-10 Coding for Hypercholesterolemia

ICD-10 Coding for Hypercholesterolemia

E78.00
E78.01
E78.2

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

Also Known as:
High cholesterol
Cholesterolemia
elevated cholesterol
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Key Information: ICD-10 Coding for Hypercholesterolemia

Essential facts and insights about ICD-10 Coding for Hypercholesterolemia

Use ICD-10 code E78.00 for pure hypercholesterolemia, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pure hypercholesterolemia, unspecified

Billable Code
E78.00
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥190 mg/dL with no secondary causes
documentation:
  • • Document specific LDL levels and absence of secondary causes

Applicable To

  • • Elevated LDL cholesterol without specific cause

Important Notes

  • • Ensure LDL levels are documented and secondary causes are ruled out.

Familial hypercholesterolemia

Billable Code
E78.01
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥190 mg/dL
  • • Genetic testing confirming LDLR, APOB, or PCSK9 mutation

Applicable To

  • • Genetically confirmed hypercholesterolemia

Important Notes

  • • Document genetic test results and family history.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥160 mg/dL
  • • Triglycerides ≥150 mg/dL

Applicable To

  • • Elevated cholesterol and triglycerides

Important Notes

  • • Ensure both cholesterol and triglyceride levels are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long term (current) use of insulin

Use to indicate ongoing statin therapy.

Frequently Asked Questions

What is the ICD-10 code for hypercholesterolemia?

The ICD-10 code for pure hypercholesterolemia is E78.00, while familial hypercholesterolemia is coded as E78.01.

How is familial hypercholesterolemia diagnosed?

Familial hypercholesterolemia is diagnosed with LDL ≥190 mg/dL and confirmed by genetic testing or clinical criteria such as tendon xanthomas.

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