Complete ICD-10-CM coding and documentation guide for Abnormal Cholesterol Level. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to Abnormal Cholesterol Level
Disorders of lipoprotein metabolism and other lipidemias
This range includes codes for various types of hyperlipidemia, including hypercholesterolemia and mixed hyperlipidemia.
Compare key differences between these codes to ensure accurate selection
Code | Description | When to Use | Key Documentation |
---|---|---|---|
E78.00 | Pure hypercholesterolemia, unspecified | Use when managing cholesterol-specific therapy with LDL-C ≥190 mg/dL. |
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E78.2 | Mixed hyperlipidemia | Use when both LDL and triglycerides are elevated and documented. |
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E78.5 | Unspecified hyperlipidemia | Use when specific type of hyperlipidemia is not documented. |
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Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Essential facts and insights about Abnormal Cholesterol Level
Use when both LDL and triglycerides are elevated and documented.
Document both LDL and triglyceride levels.
Use when specific type of hyperlipidemia is not documented.
Ensure no specific lipid type is documented before using.
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Familial hypercholesterolemia
E78.01Avoid these common documentation and coding issues when documenting Abnormal Cholesterol Level to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.00.
Clinical: May lead to inappropriate treatment plans., Regulatory: Potential audit issues., Financial: Risk of claim denials.
Review lab results for specific lipid abnormalities., Consult with the provider for clarification if needed.
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Ensure both LDL and triglyceride levels meet criteria before coding E78.2.
Frequent use of E78.5 without specific lipid documentation.
Implement EHR alerts for specific lipid documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Common questions about ICD-10 coding for Abnormal Cholesterol Level, with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for Abnormal Cholesterol Level. These templates include all required elements for proper coding and billing.
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