ICD-10 Coding for History of Hyperlipidemia(Z85.29, Z83.42)
Complete ICD-10-CM coding and documentation guide for History of Hyperlipidemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Hyperlipidemia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z85.29 | Personal history of other diseases of the circulatory system | Use when the patient has a resolved history of hyperlipidemia with no current treatment. |
|
| Z83.42 | Family history of familial hypercholesterolemia | Use when documenting a family history of hyperlipidemia. |
|
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 history of hyperlipidemia
Essential facts and insights about History of Hyperlipidemia
Primary ICD-10-CM Codes for history of hyperlipidemia
Decision Criteria
clinical Criteria
- Patient has normal lipid levels and no current treatment
documentation Criteria
- Documented history of hyperlipidemia with resolved status
Applicable To
- Resolved hyperlipidemia
Excludes
- Current hyperlipidemia (E78.x)
Clinical Validation Requirements
- Documented history of hyperlipidemia with current normal lipid levels
- No active treatment for hyperlipidemia
Code-Specific Risks
- Incorrectly coding active hyperlipidemia as history
Coding Notes
- Ensure that the patient's lipid levels are normal and no treatment is ongoing before using this code.
Z83.42 - Family history of familial hypercholesterolemia
Use when documenting a family history of hyperlipidemia.
Applicable To
- Family history of familial hypercholesterolemia
Excludes
- Personal history of hyperlipidemia (Z85.29)
Clinical Validation Requirements
- Documented family history of hyperlipidemia in first-degree relatives
Coding Notes
Ensure family history is clearly documented in the patient's record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Family history of familial hypercholesterolemia
Z83.42Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Hyperlipidemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.29.
Impact
Clinical: Misrepresentation of patient's current health status., Regulatory: Potential audit issues., Financial: Denied claims due to incorrect coding.
Mitigation Strategy
Regularly update patient records, Verify current treatment status
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z85.29 for resolved cases with normal lipid levels.
Impact
Risk of audits due to incorrect coding of resolved conditions.
Mitigation Strategy
Ensure documentation clearly states resolved status and current lipid levels.
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 History of Hyperlipidemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Hyperlipidemia
Use these documentation templates to ensure complete and accurate documentation for History of Hyperlipidemia. These templates include all required elements for proper coding and billing.
Resolved Hyperlipidemia in Primary Care
Specialty: Primary CareRequired Elements
- Type of hyperlipidemia
- Treatment history
- Current lipid levels
- Family history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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