ICD-10 Code E78.2

E78.2 is the ICD-10-CM code for mixed hyperlipidemia. This code is used by medical professionals to document and bill for a condition characterized by the presence of elevated levels of lipids in the blood, including cholesterol and triglycerides.

Mixed hyperlipidemia (E78.2) refers to a lipid metabolism disorder where both cholesterol and triglycerides are elevated. This condition increases the risk of cardiovascular diseases such as coronary artery disease and stroke. It often requires a combination of lifestyle changes and medication to manage effectively.

Patients with mixed hyperlipidemia may not exhibit any symptoms initially. However, as the condition progresses, they may experience symptoms such as:

E78.2 should be used for billing when a patient is diagnosed with mixed hyperlipidemia. Proper documentation should include clinical evidence of elevated cholesterol and triglycerides. Ensure that the diagnosis is supported by lab results and clinical notes to substantiate the billing.

Use E78.2 in accordance with the ICD-10-CM guidelines for coding and reporting. Always ensure that the diagnosis is backed by clinical evidence and documented thoroughly in the patient's medical records.

The following inclusion terms are listed under code E78.2:

If any of these alternative terms are documented in the medical record, you may assign code E78.2.

There is an excludes 1 note found at E78.2 for the following conditions:

Due to this instructional note, when the patient has been diagnosed with one of the listed conditions, only the condition noted in the excludes 1 note should be assigned and E78.2 would be omitted.

There is an excludes 1 note found at category E78, Disorders of lipoprotein metabolism and other lipidemias that is applicable to code E78.2 for sphingolipidosis (E75.0–E75.3). This note instructs that when mixed hyperlipidemia is diagnosed with sphingolipidosis, the correct code for sphingolipidosis should be assigned and E78.2 should not be used.

In cases where a patient has a diagnosis of both mixed hyperlipidemia and hypercholesterolemia, only assign code E78.2. Do not assign code E78.00, Pure hypercholesterolemia, unspecified, as the hypercholesterolemia is included in code E78.2 as indicated in the alphabetic index.

E78.2 is an ICD-10-CM code for documenting and billing mixed hyperlipidemia, a condition that requires careful management due to its association with cardiovascular diseases. Proper documentation, adherence to coding guidelines, and awareness of common pitfalls support accurate coding and billing.

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