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Z13.220
ICD-10-CM
Hyperlipidemia Screening

Find information on Hyperlipidemia screening, including lipid panel testing, cholesterol levels, LDL, HDL, triglycerides, and risk assessment. Learn about ICD-10 codes for Hyperlipidemia (E78.5), diagnosis documentation, and medical coding guidelines for accurate clinical records and billing. This resource provides healthcare professionals with insights into effective Hyperlipidemia management and patient education materials related to diet, lifestyle modifications, and medication adherence for improved cardiovascular health.

Also known as

Lipid Disorder Screening
Cholesterol Screening

Diagnosis Snapshot

Key Facts
  • Definition : High levels of lipids (fats) in the blood, increasing risk of heart disease.
  • Clinical Signs : Often asymptomatic, but high cholesterol can cause xanthomas (fatty deposits).
  • Common Settings : Primary care, cardiology, endocrinology clinics for diagnosis and management.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z13.220 Coding
Z13.220

Encounter for screening for lipoid disorders

Routine screening for high cholesterol and other lipid abnormalities.

E78.00-E78.9

Pure hypercholesterolemia

Elevated cholesterol levels without other lipid abnormalities.

E78.10-E78.19

Mixed hyperlipidemia

Elevated cholesterol and triglycerides.

E78.2

Pure hyperglyceridemia

Elevated triglycerides without other lipid abnormalities.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the encounter for screening purposes?

  • Yes

    Is there a family history of hyperlipidemia?

  • No

    Is hyperlipidemia being investigated?

Code Comparison

Related Codes Comparison

When to use each related code

Description
High cholesterol screening
Familial hypercholesterolemia
Mixed hyperlipidemia

Documentation Best Practices

Documentation Checklist
  • Hyperlipidemia screening diagnosis code (ICD-10)
  • Patient's lipid panel results (LDL, HDL, triglycerides)
  • Date and time of hyperlipidemia screening
  • Family history of hyperlipidemia or related conditions
  • Clinical indication for hyperlipidemia screening

Coding and Audit Risks

Common Risks
  • Unspecified Dx Code

    Using unspecified hyperlipidemia codes (e.g., E78.9) when a more specific code is documented, impacting risk adjustment and reimbursement.

  • Lacking Supporting Documentation

    Insufficient documentation of lipid levels or family history to support the hyperlipidemia diagnosis, leading to audit denials and compliance issues.

  • Secondary Dx Coding Errors

    Incorrect sequencing of hyperlipidemia as primary or secondary diagnosis when other conditions are present, affecting data accuracy and quality reporting.

Mitigation Tips

Best Practices
  • Document LDL, HDL, triglycerides levels with units for ICD-10-CM E78.5 accuracy.
  • Capture patient's family history of hyperlipidemia for improved risk assessment and HCC coding.
  • Query physician for specific dyslipidemia type (e.g., hypercholesterolemia, mixed) for proper CDI.
  • Ensure medication reconciliation reflects lipid-lowering therapy for compliance and RAF score.
  • Review medical necessity of lipid panel based on patient's risk factors to meet payer requirements.

Clinical Decision Support

Checklist
  • Verify patient age and risk factors (ICD-10 E78.0-E78.5)
  • Review fasting lipid panel: LDL, HDL, triglycerides (SNOMED CT 227455009)
  • Assess family history of dyslipidemia, CHD (ICD-10 Z82.4)
  • Document LDL level and treatment rationale (RxNorm)
  • Check for statin intolerance or contraindications (MedDRA)

Reimbursement and Quality Metrics

Impact Summary
  • Hyperlipidemia Screening reimbursement tied to accurate ICD-10-CM coding (E78.0-E78.5) and proper documentation.
  • Quality metrics impacted: Preventive care measures, chronic disease management, and population health reporting.
  • Coding accuracy directly affects hospital revenue cycle management and value-based care reimbursement.
  • Denial management crucial for maximizing hyperlipidemia screening reimbursement and minimizing revenue loss.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Z72.6 for routine screening
  • Document LDL, HDL, triglycerides
  • ICD-10 Hyperlipidemia E78.5
  • Family history impacts coding
  • Consider secondary causes, code them

Documentation Templates

Patient presents for hyperlipidemia screening due to family history of coronary artery disease and elevated cholesterol.  Risk factors discussed include diet, exercise, smoking status, and family history.  Patient reports adherence to a generally healthy diet but admits to limited physical activity.  Patient denies tobacco use.  Physical exam unremarkable.  A lipid panel was ordered to assess for dyslipidemia, including total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides.  Plan includes lifestyle modifications such as increased exercise and dietary counseling, with potential pharmacotherapy such as statin therapy depending on lipid panel results.  Patient education provided regarding the importance of cholesterol management and reducing cardiovascular risk factors.  Follow-up appointment scheduled to review lab results and discuss further management options including medication management if indicated. Diagnosis:  Hyperlipidemia screening.  ICD-10 code Z13.220.  CPT code for lipid panel 80061.  Keywords:  Hyperlipidemia, high cholesterol, cholesterol screening, lipid panel, dyslipidemia, cardiovascular risk, statin therapy, lipid-lowering medication, preventative medicine, family history, coronary artery disease, metabolic syndrome,  LDL, HDL, triglycerides, cholesterol management, lifestyle modifications, diet, exercise, smoking cessation, ICD-10 Z13.220, CPT 80061, EHR documentation, medical billing, medical coding.
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