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Home/Diagnosis/ICD-10 Coding for Lipid Profile

ICD-10 Coding for Lipid Profile

E78.0
E78.1
E78.2

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

Also Known as:
Cholesterol Test
Lipid Panel
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Key Information: ICD-10 Coding for Lipid Profile

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

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-C ≥190 mg/dL

Applicable To

  • • Elevated LDL cholesterol

Important Notes

  • • Ensure LDL-C levels are documented to support the use of this code.

Pure hyperglyceridemia

Billable Code
E78.1
Billable

Diagnostic Criteria

  • • Triglycerides ≥500 mg/dL

Applicable To

  • • Elevated triglycerides

Important Notes

  • • Document triglyceride levels to support coding.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

  • • LDL-C ≥160 mg/dL and triglycerides ≥150 mg/dL

Applicable To

  • • Elevated LDL and triglycerides

Important Notes

  • • Document both LDL and triglyceride levels.

Hyperlipidemia, unspecified

Billable Code
E78.5
Billable

Diagnostic Criteria

  • • Total cholesterol >200 mg/dL

Applicable To

  • • Unspecified hyperlipidemia

Important Notes

  • • Use when lipid type is not specified.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long term (current) use of lipid lowering agents

Use when documenting ongoing statin therapy.

Frequently Asked Questions

What is the ICD-10 code for a lipid profile?

The ICD-10 code for a lipid profile is typically associated with E78.5 for unspecified hyperlipidemia, but specific conditions like E78.0 for pure hypercholesterolemia may apply.

How do you code for mixed hyperlipidemia?

Mixed hyperlipidemia is coded as E78.2, used when both LDL cholesterol and triglycerides are elevated.

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