Complete ICD-10-CM coding and documentation guide for Abnormal Total Cholesterol. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to Abnormal Total Cholesterol
Disorders of lipoprotein metabolism and other lipidemias
This range includes codes for various types of hyperlipidemia, including pure 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 LDL is ≥190 mg/dL without secondary causes or mixed lipid abnormalities. |
|
E78.01 | Familial hypercholesterolemia | Use when there is genetic confirmation or family history of premature cardiovascular disease. |
|
E78.2 | Mixed hyperlipidemia | Use when both LDL and triglycerides are elevated. |
|
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 Total Cholesterol
Use when there is genetic confirmation or family history of premature cardiovascular disease.
Document family history and genetic testing results.
Use when both LDL and triglycerides are elevated.
Ensure both LDL and triglyceride levels are documented.
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Screening for lipid disorder
Z13.220Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Avoid these common documentation and coding issues when documenting Abnormal Total Cholesterol to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.00.
Clinical: Misrepresents the patient's condition., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement opportunities.
Verify family history and genetic testing results, Use E78.01 when familial hypercholesterolemia is confirmed
Reimbursement: Incorrect coding can lead to lower reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of patient records.
Use E78.2 if triglycerides are ≥200 mg/dL.
Reimbursement: Lack of documentation can lead to claim denials., Compliance: Non-compliance with documentation standards., Data Quality: Leads to incomplete patient records.
Document TSH, creatinine, and alcohol use.
High risk of audit if LDL levels and secondary causes are not documented.
Ensure complete documentation of lab results and exclusion of secondary causes.
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 Total Cholesterol, with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for Abnormal Total Cholesterol. These templates include all required elements for proper coding and billing.
Need help with ICD-10 coding for Abnormal Total Cholesterol? Ask your questions below.