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Home/Diagnosis/ICD-10 Coding for Hyperlipoproteinemia

ICD-10 Coding for Hyperlipoproteinemia

E78.0
E78.1
E78.2

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

Also Known as:
HLPLipid Disorder
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Key Information: ICD-10 Coding for Hyperlipoproteinemia

Essential facts and insights about ICD-10 Coding for Hyperlipoproteinemia

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:
  • • LDL cholesterol >190 mg/dL
documentation:
  • • Family history of hypercholesterolemia

Applicable To

  • • Familial hypercholesterolemia

Important Notes

  • • Ensure LDL levels are documented and consider genetic testing for familial cases.

Pure hyperglyceridemia

Billable Code
E78.1
Billable

Diagnostic Criteria

clinical:
  • • Triglycerides >500 mg/dL

Applicable To

  • • Fredrickson Type IV hyperlipoproteinemia

Important Notes

  • • Document triglyceride levels and any associated conditions like pancreatitis.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

clinical:
  • • LDL >160 mg/dL and triglycerides >200 mg/dL

Applicable To

  • • Fredrickson Type IIb hyperlipoproteinemia

Important Notes

  • • Ensure documentation includes both LDL and triglyceride levels.

Hyperchylomicronemia

Billable Code
E78.3
Billable

Diagnostic Criteria

clinical:
  • • Presence of chylomicrons and triglycerides >1,000 mg/dL

Applicable To

  • • Fredrickson Type I hyperlipoproteinemia

Important Notes

  • • Document chylomicron presence and triglyceride levels.

Unspecified hyperlipidemia

Billable Code
E78.5
Billable

Diagnostic Criteria

clinical:
  • • Lack of specific lipid abnormality documentation

Important Notes

  • • Avoid using without specific lipid panel results.
Ancillary Codes

Additional codes that may be used with this diagnosis

I25.10

Atherosclerotic heart disease

Use when hypercholesterolemia is associated with coronary artery disease.

K85.9

Acute pancreatitis

Use when hyperglyceridemia leads to pancreatitis.

I21.9

Acute myocardial infarction

Use when mixed hyperlipidemia is associated with cardiac events.

K90.0

Fat malabsorption

Use when hyperchylomicronemia is associated with malabsorption.

Frequently Asked Questions

What is the ICD-10 code for mixed hyperlipidemia?

The ICD-10 code for mixed hyperlipidemia is E78.2, used when both LDL and triglyceride levels are elevated.

How do you code familial hypercholesterolemia?

Familial hypercholesterolemia is coded as E78.01, requiring documentation of LDL levels and genetic testing.

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