ICD 10 Code For HLD (Hyperlipidemia) | ICD 10 Code E78.5

Welcome to your go-to resource for understanding ICD 10 Code E78.5 – the key to unlocking the mysteries of Hyperlipidemia in healthcare involves understanding it in a straightforward way. In this guide, we delve into everything you need to know about ICD 10 Code for HLD (Hyperlipidemia), and offering a detailed exploration of its significance in coding and documenting E78.5 diagnose code.

ICD 10 Code For HLD

ICD 10 CODE For HLD (Hyperlipidemia)

ICD 10 CODE E78.5

The primary ICD-10 code used for hyperlipidemia is E78.5. This code encompasses various types of hyperlipidemia and serves as a base code for more specific subtypes, allowing for detailed documentation and classification.

The ICD-10 Code E78.5 serves as a billable code within the ICD-10 system, employed for the purpose of reimbursing healthcare diagnoses related to Hyperlipidemia, unspecified. Its counterpart in the ICD-9 system is identified as 272.4.

  • Billable: Yes
  • ICD-9 Code Transition: 272.4

ICD-10-CM Diagnosis Code E78.5

  • E78.5 is a billable/specific ICD-10-CM code. It can be used to indicate a diagnosis for reimbursement purposes.
  • The effectiveness of ICD-10-CM code E78.5 in the 2024 edition commenced on October 1, 2023.

Other Synonyms Include For Hyperlipidemia

  • Complex dyslipidemia
  • Diabetes type 1 with dyslipidemia
  • Diabetes type 1 with hyperlipidemia
  • Diabetes type 2 low hdl and high triglyceride
  • Diabetes type 2 with hyperlipidemia
  • Dyslipidemia
  • Dyslipidemia (high blood cholesterol/triglycerides)
  • Dyslipidemia due to type 1 diabetes mellitus
  • Dyslipidemia with high density lipoprotein below reference range and triglyceride above reference range due to type 2 diabetes mellitus
  • Dyslipidemia, complex
  • Elevated fasting lipid profile
  • Elevated lipid profile fasting
  • Hyperlipidemia
  • Hyperlipidemia (high blood fats)
  • Hyperlipidemia due to steroid
  • Hyperlipidemia due to type 1 diabetes mellitus
  • Hyperlipidemia due to type 2 diabetes mellitus
  • Hyperlipidemia, long term steroid use
  • Hyperlipoproteinemia
  • Nutrition therapy for hyperlipidemia done
  • Nutritional therapy for hyperlipidemia (cholesterol problem)

For instance, if a patient is diagnosed with mixed hyperlipidemia, the ICD-10 code would be E78.2.


The table below includes the most commonly used ICD-10 codes for hyperlipidemia:

ICD-10 ChapterCodesCode Description
4E78.00Pure hypercholesterolemia, unspecified
4E78.01Familial hypercholesterolemia
4E78.1Pure Hypertriglyceridemia
4E78.2Mixed hyperlipidemia
4E78.41Elevated Lipoprotein(a)
4E78.49Other hyperlipidemia
4E78.5Hyperlipidemia, unspecified
4E78.6High-density lipoprotein deficiency
4E78.70Disorder of bile acid and cholesterol metabolism, unspecified
4E78.71Barth syndrome
4E78.72Smith-Lemli-Opitz syndrome
4E78.79Other disorders of bile acid and cholesterol metabolism
4E78.81Lipoid dermatoarthritis
4E78.89Other lipoprotein metabolism disorders
4E78.9Disorder of lipoprotein metabolism, unspecified

What is Hyperlipidemia?

Hyperlipidemia refers to elevated levels of lipids (fats) in the blood. It encompasses high levels of cholesterol and triglycerides, increasing the risk of cardiovascular diseases like heart attack and stroke. Accurate coding for hyperlipidemia is crucial for proper healthcare documentation, billing, and tracking patient conditions.

ICD-10 Code for Hyperlipidemia and Related Conditions

When determining the appropriate ICD-10 code for hyperlipidemia, medical professionals should consider the patient’s lipid profile, associated risk factors, and any other relevant diagnoses. Accurate coding ensures comprehensive documentation of the condition, aiding in appropriate treatment plans and accurate statistical analysis.

Coding Guidelines for ICD-10 Codes for Hyperlipidemia

When coding for hyperlipidemia using ICD-10, it’s essential to follow specific guidelines to ensure accurate classification:

  • Specificity is Crucial: Accurate and detailed documentation is essential. Code selection should reflect the specific type of hyperlipidemia diagnosed to avoid ambiguity and ensure proper treatment.
  • Document Clinical Details: Physicians need to document whether the hyperlipidemia is primary or secondary and any associated conditions or contributing factors (e.g., familial history, diet, medications).
  • Regular Review and Updates: Healthcare providers must regularly review and update the patient’s condition and coding to reflect any changes in diagnosis or treatment plans accurately.
  • Use Additional Codes: When coding for hyperlipidemia, it’s vital to use additional codes to indicate any related conditions such as atherosclerosis, hypertension, diabetes, etc., if applicable. This provides a comprehensive picture of the patient’s health status.
  • Follow Official Guidelines: Follow the official ICD-10-CM coding guidelines set by the Centers for Medicare & Medicaid Services (CMS) and the American Hospital Association (AHA) for accurate and consistent coding practices.
  • Training and Education: Continuous education for healthcare professionals involved in coding and documentation is crucial to ensure compliance with coding guidelines and accuracy in reporting.


Accurate coding of hyperlipidemia using the ICD-10 system is crucial for effective medical management, billing, and research purposes. Understanding the specific codes and guidelines for coding hyperlipidemia assists healthcare professionals in providing comprehensive care and tracking the progression of the condition.

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