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Home/Diagnosis/ICD-10 Coding for Lipidemia

ICD-10 Coding for Lipidemia

E78.0
E78.1
E78.2

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

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

Essential facts and insights about ICD-10 Coding for Lipidemia

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 level ≥190 mg/dL

Applicable To

  • • Familial hypercholesterolemia

Important Notes

  • • Ensure LDL levels are documented to support this code.

Pure hypertriglyceridemia

Billable Code
E78.1
Billable

Diagnostic Criteria

clinical:
  • • Triglycerides ≥500 mg/dL with normal LDL/HDL levels

Applicable To

  • • Hypertriglyceridemia

Important Notes

  • • Document triglyceride levels to validate coding.

Mixed hyperlipidemia

Billable Code
E78.2
Billable

Diagnostic Criteria

clinical:
  • • LDL ≥160 mg/dL and Triglycerides ≥200 mg/dL

Applicable To

  • • Combined hyperlipidemia

Important Notes

  • • Ensure both LDL and triglyceride levels are documented.

Unspecified hyperlipidemia

Billable Code
E78.5
Billable

Diagnostic Criteria

clinical:
  • • Incomplete lipid profile documentation

Applicable To

  • • Hyperlipidemia NOS

Important Notes

  • • Avoid use if specific lipid levels can be documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

I25.10

Atherosclerosis

Use when atherosclerosis is present alongside hypercholesterolemia.

K85.9

Pancreatitis

Use when pancreatitis is present due to high triglycerides.

Frequently Asked Questions

What is the ICD-10 code for lipidemia?

The ICD-10 code for lipidemia includes E78.0 for pure hypercholesterolemia, E78.1 for pure hypertriglyceridemia, and E78.2 for mixed hyperlipidemia.

How do you code mixed hyperlipidemia?

Code E78.2 is used for mixed hyperlipidemia when both LDL and triglycerides are elevated. Ensure documentation supports both elevations.

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