ICD-10 Coding for Triglyceridemia(E78.1, E78.2)
Complete ICD-10-CM coding and documentation guide for Triglyceridemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Triglyceridemia
E78.0-E78.9Primary Range
Disorders of lipoprotein metabolism and other lipidemias
This range includes codes for various lipid disorders, including hypertriglyceridemia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E78.1 | Pure hyperglyceridemia | Use when triglycerides are elevated without concurrent high cholesterol. |
|
| E78.2 | Mixed hyperlipidemia | Use when both triglycerides and cholesterol 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 triglyceridemia
Essential facts and insights about Triglyceridemia
Primary ICD-10-CM Codes for triglyceridemia
Decision Criteria
clinical Criteria
- Fasting triglycerides ≥150 mg/dL
documentation Criteria
- Explicit mention of 'pure hyperglyceridemia'
Applicable To
- Isolated elevated triglycerides
Excludes
- Mixed hyperlipidemia (E78.2)
Clinical Validation Requirements
- Fasting triglycerides ≥150 mg/dL on two separate occasions
- Absence of elevated cholesterol levels
Code-Specific Risks
- Confusion with E78.2 if cholesterol is also elevated
Coding Notes
- Ensure documentation specifies fasting triglyceride levels and excludes secondary causes.
E78.2 - Mixed hyperlipidemia
Use when both triglycerides and cholesterol are elevated.
Applicable To
- Elevated triglycerides and cholesterol
Excludes
- Pure hyperglyceridemia (E78.1)
Clinical Validation Requirements
- Triglycerides ≥150 mg/dL and LDL ≥130 mg/dL
Coding Notes
Ensure documentation includes both triglyceride and cholesterol levels.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Triglyceridemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.1.
Impact
Clinical: Inaccurate treatment plans, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure specific lipid levels are documented, Use specific codes E78.1 or E78.2 as appropriate
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Verify both triglyceride and cholesterol levels before coding.
Impact
Failure to differentiate between pure and mixed hyperlipidemia.
Mitigation Strategy
Regular training on lipid disorder coding.
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 Triglyceridemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Triglyceridemia
Use these documentation templates to ensure complete and accurate documentation for Triglyceridemia. These templates include all required elements for proper coding and billing.
Endocrinology follow-up for hypertriglyceridemia
Specialty: EndocrinologyRequired Elements
- Fasting status
- Lipid panel results
- Secondary cause assessment
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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