ICD-10 Coding for High-Density Lipoprotein Deficiency(E78.6)
Complete ICD-10-CM coding and documentation guide for High-Density Lipoprotein Deficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to High-Density Lipoprotein Deficiency
E78.0-E78.9Primary Range
Disorders of lipoprotein metabolism and other lipidemias
This range includes all disorders related to lipoprotein metabolism, including HDL deficiency.
Key Information: ICD-10 code for low HDL
Essential facts and insights about High-Density Lipoprotein Deficiency
Primary ICD-10-CM Code for high-density lipoprotein
Decision Criteria
clinical Criteria
- HDL levels below threshold values
documentation Criteria
- Specific mention of HDL deficiency
Applicable To
- HDL deficiency
- Hypoalphalipoproteinemia
Excludes
- Hyperlipidemia, unspecified (E78.5)
Clinical Validation Requirements
- HDL <40 mg/dL in adults
- HDL <35 mg/dL in children
Code-Specific Risks
- Misclassification as unspecified hyperlipidemia (E78.5)
Coding Notes
- Ensure HDL levels are documented to avoid using unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Family history of elevated lipoprotein(a)
Z83.430Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting High-Density Lipoprotein Deficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.6.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify lipid levels., Use precise terminology.
Impact
Reimbursement: Potential denial due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Document specific HDL levels and use E78.6.
Impact
Risk of audits due to non-specific coding of lipid disorders.
Mitigation Strategy
Ensure all lipid levels are documented and specific codes are used.
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 High-Density Lipoprotein Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for High-Density Lipoprotein Deficiency
Use these documentation templates to ensure complete and accurate documentation for High-Density Lipoprotein Deficiency. These templates include all required elements for proper coding and billing.
Patient with confirmed low HDL
Specialty: EndocrinologyRequired Elements
- Patient history
- Lipid panel results
- Family history
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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