What is the ICD-10 code for familial hyperlipidemia?

The ICD-10 code for familial hyperlipidemia is E78.01, used for confirmed cases of familial hypercholesterolemia.

How do you document familial hyperlipidemia?

Document familial hyperlipidemia by including genetic test results, LDL-C levels, and family history of cardiovascular disease.

ICD-10 Coding for Familial Hyperlipidemia(E78.01, E78.0, E78.2)

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Learn about the ICD-10 coding and documentation requirements for familial hyperlipidemia, including key codes, clinical validation, and common pitfalls.

Also known as:

Familial HypercholesterolemiaGenetic Hyperlipidemia

Related ICD-10 Code Ranges

Complete code families applicable to Familial Hyperlipidemia

E00-E89Primary Range

Endocrine, nutritional and metabolic diseases

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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 familial hypercholesterolemia is confirmed by genetic testing or clinical criteria.	LDL-C ≥190 mg/dL in adults Genetic testing confirming LDLR/APOB/PCSK9 mutation Presence of tendon xanthomas
Z83.42	Family history of familial hypercholesterolemia	Use when documenting family history of FH without a confirmed diagnosis in the patient.	Documented family history of FH in first-degree relatives

Primary ICD-10-CM Codes

Familial hypercholesterolemia

E78.01

Differential Codes

Alternative codes to consider when ruling out similar conditions

Unspecified hyperlipidemiaE78.5

Documentation & Coding Risks

Avoid these common issues when documenting Familial Hyperlipidemia.

Omitting family history in documentation

Impact

Clinical: Inaccurate risk assessment for cardiovascular events, Regulatory: Potential audit issues, Financial: Loss of reimbursement opportunities

Mitigation

Always document family history when relevant, Use templates to ensure completeness

Using E78.5 for familial hypercholesterolemia

Impact

Reimbursement: Potential underpayment due to incorrect coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation

Mitigation

Ensure documentation supports E78.01 with genetic or clinical criteria.

Incorrect coding of hyperlipidemia

Impact

Using E78.5 instead of E78.01 for familial cases

Mitigation

Educate coders on the importance of genetic and clinical validation.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with E78.01.

Primary Code

E78.01

Familial hypercholesterolemia

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ICD-10 codes5

Coding risks3

FAQs2

ICD-10 Coding for Familial Hyperlipidemia(E78.01, E78.0, E78.2)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for familial hyperlipidemia?

How do you document familial hyperlipidemia?

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