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Home/Diagnosis/ICD-10 Coding for Hyperlipidemia

ICD-10 Coding for Hyperlipidemia

E78.0
E78.1
E78.2

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

Also Known as:
High cholesterol
Dyslipidemia
Hyperlipoproteinemia
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Key Information: ICD-10 Coding for Hyperlipidemia

Essential facts and insights about ICD-10 Coding for Hyperlipidemia

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

  • • LDL cholesterol levels above 190 mg/dL

Applicable To

  • • Familial hypercholesterolemia

Important Notes

  • • Ensure documentation of genetic testing for familial cases.

Pure hyperglyceridemia

Billable Code
E78.1
Billable

Diagnostic Criteria

  • • Triglycerides > 500 mg/dL
  • • Risk of pancreatitis documented

Applicable To

  • • Severe hypertriglyceridemia

Important Notes

  • • Document triglyceride levels and risk factors for pancreatitis.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

  • • LDL > 160 mg/dL
  • • Triglycerides > 150 mg/dL

Applicable To

  • • Combined hyperlipidemia

Important Notes

  • • Ensure both LDL 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 when documenting ongoing statin therapy.

E11.69

Type 2 diabetes mellitus with other specified complication

Use when hyperlipidemia is a complication of diabetes.

I25.10

Atherosclerotic heart disease of native coronary artery without angina pectoris

Use when hyperlipidemia is linked to coronary artery disease.

Frequently Asked Questions

What is the ICD-10 code for hyperlipidemia?

The ICD-10 code for hyperlipidemia is E78.5, but more specific codes like E78.0 for pure hypercholesterolemia or E78.2 for mixed hyperlipidemia should be used when applicable.

How do you code mixed hyperlipidemia?

Mixed hyperlipidemia is coded as E78.2, which requires documentation of both elevated LDL and triglycerides.

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