What is the ICD-10 code for high cholesterol?

The ICD-10 code for high cholesterol is E78.0 for pure hypercholesterolemia, used when LDL cholesterol is ≥190 mg/dL without elevated triglycerides.

How do you code mixed hyperlipidemia?

Use ICD-10 code E78.2 for mixed hyperlipidemia when both LDL cholesterol is ≥160 mg/dL and triglycerides are ≥200 mg/dL.

ICD-10 Coding for High Cholesterol(E78.0, E78.01, E78.2)

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Comprehensive guide to ICD-10 coding for high cholesterol, including E78.0 and E78.2 codes, documentation requirements, and common pitfalls.

Also known as:

HyperlipidemiaHypercholesterolemiaDyslipidemia

Related ICD-10 Code Ranges

Complete code families applicable to High Cholesterol

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
E78.0	Pure hypercholesterolemia	Use when LDL cholesterol is ≥190 mg/dL and triglycerides are <200 mg/dL.	LDL cholesterol level ≥190 mg/dL No elevated triglycerides
E78.2	Mixed hyperlipidemia	Use when both LDL cholesterol and triglycerides are elevated.	LDL cholesterol level ≥160 mg/dL Triglycerides ≥200 mg/dL

Primary ICD-10-CM Codes

Pure hypercholesterolemia

E78.0

Differential Codes

Alternative codes to consider when ruling out similar conditions

Mixed hyperlipidemiaE78.2

Pure hypercholesterolemiaE78.0

Documentation & Coding Risks

Avoid these common issues when documenting High Cholesterol.

Failing to document lipid levels.

Impact

Clinical: Inadequate treatment planning., Regulatory: Increased audit risk., Financial: Potential for denied claims.

Mitigation

Use templates to ensure lipid levels are documented., Regularly review documentation practices.

Using unspecified codes when specific lipid levels are available.

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audits and denials., Data Quality: Decreases accuracy of patient health records.

Mitigation

Always document and code based on specific LDL and triglyceride levels.

Specificity of lipid disorder coding

Impact

Audits may target unspecified codes when specific lipid levels are available.

Mitigation

Always document and code based on specific lipid levels.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with E78.0.

Primary Code

E78.0

Pure hypercholesterolemia

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ICD-10 codes5

Coding risks3

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ICD-10 Coding for High Cholesterol(E78.0, E78.01, E78.2)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for high cholesterol?

How do you code mixed hyperlipidemia?

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