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Home/Diagnosis/ICD-10 Coding for Lipid Disorder

ICD-10 Coding for Lipid Disorder

E78.0
E78.1
E78.2

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

Also Known as:
Dyslipidemia
Hyperlipidemia
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Key Information: ICD-10 Coding for Lipid Disorder

Essential facts and insights about ICD-10 Coding for Lipid Disorder

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 level ≥190 mg/dL

Applicable To

  • • Familial hypercholesterolemia

Important Notes

  • • Ensure LDL levels are documented clearly.

Pure hypertriglyceridemia

Billable Code
E78.1
Billable

Diagnostic Criteria

  • • Triglycerides ≥500 mg/dL

Important Notes

  • • Document triglyceride levels clearly.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

  • • LDL ≥160 mg/dL and triglycerides ≥200 mg/dL

Important Notes

  • • Document both LDL and triglyceride levels.

Unspecified hyperlipidemia

Billable Code
E78.5
Billable

Important Notes

  • • Avoid use if specific lipid disorder can be identified.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long term (current) use of insulin

Use if patient is on statin therapy.

Frequently Asked Questions

What is the ICD-10 code for pure hypercholesterolemia?

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

When should Z13.220 be used?

Z13.220 is used for preventive screening encounters for lipid disorders in asymptomatic patients.

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