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Home/Diagnosis/ICD-10 Coding for Pure Hypercholesterolemia

ICD-10 Coding for Pure Hypercholesterolemia

E78.00
E78.01

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

Also Known as:
High Cholesterol
LDL Hypercholesterolemia
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Key Information: ICD-10 Coding for Pure Hypercholesterolemia

Essential facts and insights about ICD-10 Coding for Pure Hypercholesterolemia

Use ICD-10 code E78.00 for pure hypercholesterolemia, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pure hypercholesterolemia, unspecified

Billable Code
E78.00
Billable

Diagnostic Criteria

clinical:
  • • LDL-C levels between 160-189 mg/dL without familial or secondary causes.

Applicable To

  • • Primary hypercholesterolemia

Important Notes

  • • Ensure documentation specifies 'pure' hypercholesterolemia to avoid unspecified coding.

Familial hypercholesterolemia

Billable Code
E78.01
Billable

Diagnostic Criteria

clinical:
  • • LDL-C ≥190 mg/dL
  • • Genetic testing confirming LDLR/APOB/PCSK9 variants
  • • Family history of premature CAD

Applicable To

  • • Genetic hypercholesterolemia

Important Notes

  • • Ensure genetic testing results are documented to support familial coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z13.220

Encounter for screening for lipoid disorders

Use for routine cholesterol checks, not for diagnosed conditions.

Z82.49

Family history of ischemic heart disease

Use when documenting family history of CAD.

Frequently Asked Questions

What is the ICD-10 code for pure hypercholesterolemia?

The ICD-10 code for pure hypercholesterolemia is E78.00 for unspecified cases and E78.01 for familial cases confirmed by genetic testing.

When should E78.01 be used?

Use E78.01 for familial hypercholesterolemia when genetic testing confirms LDLR/APOB/PCSK9 variants or there's a documented family history of premature CAD.

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