ICD-10 Coding for Elevated Low-Density Lipoprotein(E78.01, E78.2)
Complete ICD-10-CM coding and documentation guide for Elevated Low-Density Lipoprotein. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Low-Density Lipoprotein
E78.0-E78.5Primary Range
Disorders of lipoprotein metabolism and other lipidemias
This range includes codes for various types of hyperlipidemia, including elevated LDL.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E78.01 | Familial hypercholesterolemia | Use when LDL is ≥190 mg/dL with a family history of premature ASCVD. |
|
| E78.2 | Mixed hyperlipidemia | Use when both LDL and triglycerides are elevated. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for elevated LDL
Essential facts and insights about Elevated Low-Density Lipoprotein
Primary ICD-10-CM Codes for elevated low-density lipoprotein
Decision Criteria
clinical Criteria
- LDL ≥190 mg/dL with family history
Applicable To
- LDL ≥190 mg/dL with family history of premature ASCVD
Excludes
- Secondary hyperlipidemia due to hypothyroidism
Clinical Validation Requirements
- LDL ≥190 mg/dL
- Family history of premature ASCVD or tendon xanthomas
Code-Specific Risks
- Incorrectly using without familial history documentation
Coding Notes
- Ensure documentation of familial history and LDL levels.
E78.2 - Mixed hyperlipidemia
Use when both LDL and triglycerides are elevated.
Applicable To
- LDL ≥160 mg/dL with triglycerides ≥175 mg/dL
Excludes
- Pure hypercholesterolemia
Clinical Validation Requirements
- LDL ≥160 mg/dL
- Triglycerides ≥175 mg/dL
Coding Notes
Document both LDL and triglyceride levels.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Low-Density Lipoprotein to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.01.
Impact
Clinical: May affect treatment decisions, Regulatory: Non-compliance with coding guidelines, Financial: Potential for claim denials
Mitigation Strategy
Always ask about family history, Include in patient history documentation
Impact
Reimbursement: May lead to claim denials, Compliance: Non-compliance with specificity requirements, Data Quality: Decreases accuracy of health records
Mitigation Strategy
Ensure documentation specifies the type of hyperlipidemia.
Impact
Risk of audits due to lack of specificity in coding
Mitigation Strategy
Ensure documentation supports the most specific code possible.
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.
Frequently Asked Questions
Common questions about ICD-10 coding for Elevated Low-Density Lipoprotein, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Low-Density Lipoprotein
Use these documentation templates to ensure complete and accurate documentation for Elevated Low-Density Lipoprotein. These templates include all required elements for proper coding and billing.
Cardiology Progress Note
Specialty: CardiologyRequired Elements
- LDL levels
- Family history
- Exclusion of secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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