ICD-10 Coding for Mixed Hyperlipidemia(E78.2)
Complete ICD-10-CM coding and documentation guide for Mixed Hyperlipidemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mixed Hyperlipidemia
E78.0-E78.5Primary Range
Disorders of lipoprotein metabolism and other lipidemias
This range includes all codes related to lipid metabolism disorders, including mixed hyperlipidemia.
Key Information: ICD-10 code for mixed hyperlipidemia
Essential facts and insights about Mixed Hyperlipidemia
Primary ICD-10-CM Code for mixed hyperlipidemia
Decision Criteria
clinical Criteria
- Both LDL-C and triglycerides must be elevated.
documentation Criteria
- Lab results must be documented.
Applicable To
- Elevated cholesterol and triglycerides
Clinical Validation Requirements
- Fasting LDL-C ≥160 mg/dL
- Fasting triglycerides ≥200 mg/dL
- Two fasting lipid panels ≥2 weeks apart
Code-Specific Risks
- Incorrect use if only one lipid is elevated
- Potential audit if lab results are not documented
Coding Notes
- Ensure lab results are documented to support the diagnosis of mixed hyperlipidemia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Type 2 diabetes mellitus with other specified complication
E11.69Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mixed Hyperlipidemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.2.
Impact
Clinical: Leads to inadequate treatment plans., Regulatory: Fails to meet coding specificity requirements., Financial: May result in lower reimbursement rates.
Mitigation Strategy
Ensure lab results are reviewed before coding., Use specific codes based on lab findings.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use E78.00 for isolated cholesterol elevation and E78.1 for isolated triglyceride elevation.
Impact
Failure to document lab results can lead to audits.
Mitigation Strategy
Always include lab results in the patient's medical record.
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 Mixed Hyperlipidemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mixed Hyperlipidemia
Use these documentation templates to ensure complete and accurate documentation for Mixed Hyperlipidemia. These templates include all required elements for proper coding and billing.
Primary Care Progress Note
Specialty: Primary CareRequired Elements
- Assessment of lipid levels
- Family history
- Current medications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Mixed Hyperlipidemia? Ask your questions below.