ICD-10 Coding for Hypertriglyceridemia(E78.1, E78.2)
Complete ICD-10-CM coding and documentation guide for Hypertriglyceridemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypertriglyceridemia
E78.0-E78.9Primary Range
Disorders of lipoprotein metabolism and other lipidemias
This range includes codes for various lipid disorders, including hypertriglyceridemia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E78.1 | Pure hyperglyceridemia | Use when triglycerides are elevated without elevated cholesterol levels. |
|
| E78.2 | Mixed hyperlipidemia | Use when both triglycerides and cholesterol are elevated. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hypertriglyceridemia
Essential facts and insights about Hypertriglyceridemia
Primary ICD-10-CM Codes for hypertriglyceridemia
Decision Criteria
clinical Criteria
- Fasting triglycerides ≥200 mg/dL with normal LDL/HDL
coding Criteria
- No elevated cholesterol levels present
Applicable To
- Primary hypertriglyceridemia
Excludes
- Mixed hyperlipidemia (E78.2)
Clinical Validation Requirements
- Fasting triglycerides ≥200 mg/dL
- Normal LDL/HDL levels
Code-Specific Risks
- Misclassification if cholesterol levels are also elevated.
Coding Notes
- Ensure fasting status is documented for accurate coding.
E78.2 - Mixed hyperlipidemia
Use when both triglycerides and cholesterol are elevated.
Applicable To
- Hyperlipidemia with elevated triglycerides and cholesterol
Excludes
- Pure hyperglyceridemia (E78.1)
Clinical Validation Requirements
- Triglycerides ≥200 mg/dL
- Cholesterol ≥240 mg/dL
Coding Notes
Document both triglyceride and cholesterol levels for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertriglyceridemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.1.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always include specific lab values., Clarify lipid type and levels.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient data and statistics.
Mitigation Strategy
Verify cholesterol levels before assigning E78.2.
Impact
Using E78.5 when more specific codes apply.
Mitigation Strategy
Query for specific lipid levels and types.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hypertriglyceridemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertriglyceridemia
Use these documentation templates to ensure complete and accurate documentation for Hypertriglyceridemia. These templates include all required elements for proper coding and billing.
Endocrinology Clinic Note
Specialty: EndocrinologyRequired Elements
- Fasting triglyceride levels
- Cholesterol levels
- Family history
- Secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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