ICD-10 Coding for Lipid Panel(E78.2, 80061)
Complete ICD-10-CM coding and documentation guide for Lipid Panel. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lipid Panel
E78.0-E78.5Primary Range
Disorders of lipoprotein metabolism and other lipidemias
This range includes codes for various types of hyperlipidemia, which are commonly assessed using a lipid panel.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E78.2 | Mixed hyperlipidemia | Use when both cholesterol and triglycerides are elevated. |
|
| 80061 | Lipid panel | Use for routine lipid panel testing. |
|
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 lipid panel
Essential facts and insights about Lipid Panel
Primary ICD-10-CM Codes for lipid panel
Decision Criteria
clinical Criteria
- Both LDL and triglycerides are elevated.
coding Criteria
- Avoid using E78.5 if specific lipid abnormalities are documented.
Applicable To
- Elevated cholesterol and triglycerides
Clinical Validation Requirements
- LDL ≥130 mg/dL
- Triglycerides ≥150 mg/dL
Code-Specific Risks
- Incorrectly using E78.5 when specific lipid abnormalities are documented.
Coding Notes
- Ensure lab results support the diagnosis of mixed hyperlipidemia.
80061 - Lipid panel
Use for routine lipid panel testing.
Applicable To
- Total cholesterol, HDL, triglycerides
Clinical Validation Requirements
- All three components must be measured.
Coding Notes
Ensure all components of the panel are documented.
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 Lipid Panel to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E78.2.
Impact
Clinical: Affects interpretation of triglyceride levels., Regulatory: May lead to audit issues., Financial: Potential for claim denials.
Mitigation Strategy
Always include fasting status in the documentation.
Impact
Reimbursement: May lead to incorrect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts the accuracy of patient records.
Mitigation Strategy
Use E78.2 if both cholesterol and triglycerides are elevated.
Impact
Billing individual components separately when a panel code is available.
Mitigation Strategy
Use 80061 for the complete panel.
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 Lipid Panel, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lipid Panel
Use these documentation templates to ensure complete and accurate documentation for Lipid Panel. These templates include all required elements for proper coding and billing.
Routine Lipid Panel
Specialty: Primary CareRequired Elements
- Indication for test
- Fasting status
- Lab results
- Clinical interpretation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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