Find comprehensive information on Lipid Disorders diagnosis, including clinical documentation, medical coding, ICD-10 codes, and SNOMED CT terms. This resource covers hyperlipidemia, hypercholesterolemia, dyslipidemia, elevated triglycerides, high LDL cholesterol, and low HDL cholesterol for healthcare professionals seeking guidance on accurate and efficient medical record keeping. Learn about lipid panel testing, treatment options, and best practices for documenting lipid disorders in patient charts.
Also known as
Pure hypercholesterolemia
Elevated cholesterol levels without other lipid abnormalities.
Pure hyperglyceridemia
Elevated triglycerides without other lipid abnormalities.
Mixed hyperlipidemia
Elevated cholesterol and triglycerides.
Hyperlipidemia, unspecified
Elevated lipids without further specification.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the lipid disorder purely due to a secondary cause?
Yes
Code the underlying condition. Do NOT code a lipid disorder.
No
Is it familial hypercholesterolemia?
When to use each related code
| Description |
|---|
| High cholesterol |
| Familial hypercholesterolemia |
| Hypertriglyceridemia |
Coding E78.9 (Unspecified dyslipidemia) when a more specific code is documented. Impacts risk adjustment and quality reporting.
Incorrectly coding familial hypercholesterolemia as acquired. Leads to inaccurate severity reflection and reimbursement.
Failing to code the underlying cause of secondary dyslipidemia. Misses comorbidity data, impacting quality metrics.
Patient presents with concerns regarding lipid disorders, specifically [hypercholesterolemia, hyperlipidemia, dyslipidemia - specify]. Review of systems reveals [asymptomatic, chest pain, shortness of breath, palpitations, claudication, xanthomas - specify]. Patient reports a family history of [coronary artery disease, hyperlipidemia, stroke, peripheral artery disease - specify if positive, negative, or unknown]. Past medical history includes [diabetes, hypertension, hypothyroidism, obesity, metabolic syndrome - specify]. Current medications include [statins, fibrates, bile acid sequestrants, niacin, PCSK9 inhibitors - specify dosages and frequencies]. Physical examination reveals [normal findings, xanthelasma, corneal arcus, abdominal bruit - specify]. Laboratory results show elevated [total cholesterol, LDL cholesterol, triglycerides, non-HDL cholesterol - specify values with units] and [low HDL cholesterol - specify value with units if applicable]. Diagnosis of [hypercholesterolemia, hyperlipidemia, dyslipidemia - specify] is confirmed based on patient presentation, family history, clinical findings, and laboratory data. Assessment includes risk stratification for cardiovascular disease using the [Framingham Risk Score, ASCVD Risk Estimator - specify]. Plan includes [lifestyle modifications including diet and exercise, medication management, referral to registered dietitian, cardiology consultation - specify]. Patient education provided on the importance of cholesterol management, medication adherence, and follow-up appointments. Follow-up scheduled in [ timeframe ] to monitor lipid levels and assess treatment efficacy. ICD-10 code[s] [E78.0, E78.1, E78.2, E78.5 - specify] assigned.