Find information on pure hypercholesterolemia diagnosis, including clinical documentation, ICD-10 codes (E78.0), medical coding guidelines, and healthcare resources. Learn about familial hypercholesterolemia, genetic testing, cholesterol management, lipid panel interpretation, and treatment options for high cholesterol. This resource supports healthcare professionals in accurate diagnosis and coding for pure hypercholesterolemia.
Also known as
Pure hypercholesterolemia
Elevated cholesterol levels without other known cause.
Mixed hyperlipidemia
Elevated cholesterol and other lipids in the blood.
Other hypercholesterolemia
Elevated cholesterol not classified elsewhere.
Family history of hypercholesterolemia
Personal history of familial high cholesterol.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hypercholesterolemia pure (not secondary)?
Yes
Is it familial hypercholesterolemia?
No
Do NOT code as pure hypercholesterolemia. Code underlying cause.
When to use each related code
| Description |
|---|
| Pure Hypercholesterolemia |
| Familial Combined Hyperlipidemia |
| Polygenic Hypercholesterolemia |
Coding E78.0 for pure hypercholesterolemia without specifying the type (familial vs. acquired) leads to lower reimbursement and data inaccuracy.
Failing to document family history of hypercholesterolemia can impact accurate diagnosis of familial hypercholesterolemia (E78.01) and relevant genetic testing.
Coding hypercholesterolemia without supporting lab results or documentation of elevated LDL levels poses audit risks and compliance issues.
Patient presents with primary hypercholesterolemia, also known as familial hypercholesterolemia, characterized by significantly elevated LDL cholesterol levels. Family history is positive for high cholesterol and premature cardiovascular disease. The patient denies any symptoms specifically attributable to hypercholesterolemia, such as xanthomas or xanthelasmas. Physical examination reveals no overt signs of hyperlipidemia. Current lipid panel demonstrates elevated LDL cholesterol exceeding the diagnostic threshold for pure hypercholesterolemia, with triglycerides and HDL cholesterol within normal limits. This diagnosis is consistent with the criteria for familial hypercholesterolemia without secondary causes such as hypothyroidism, nephrotic syndrome, or medication-induced hyperlipidemia. The patient has been counseled on lifestyle modifications including a therapeutic lifestyle changes diet low in saturated and trans fats, regular exercise, and weight management. Pharmacological intervention with a statin, specifically atorvastatin, has been initiated to manage LDL cholesterol levels and reduce cardiovascular risk. The patient will be closely monitored for treatment efficacy and potential adverse effects. Follow-up lipid panel and clinical evaluation scheduled in three months. ICD-10 code E78.01, pure hypercholesterolemia, is assigned. Medical billing codes for lipid panel and evaluation and management services are documented. Patient education provided regarding cholesterol management, statin therapy, and the importance of adherence to treatment plan.