In year 2013, the deadline for ICD-10 implementation, high cholesterol will still be a trouble for the patients.

Lets have a look at what is Hyperlipidemia ICD-9 codes are being used now and how Hyperlipidemia ICD-10 diagnoses coding will look like compared to ICD-9:

Hyperlipidemia ICD9 Codes

  1. 272.0, Pure hypercholesterolemia
  2. 272.1, Pure hyperglyceridemia
  3. 272.2, Mixed hyperlipidemia
  4. 272.4, Other and unspecified hyperlipidemia

Hyperlipidemia ICD10 Codes

  1. E78.0, Pure hypercholesterolemia
  2. E78.1, Pure hyperglyceridemia
  3. E78.2, Mixed hyperlipidemia
  4. E78.4, Other hyperlipidemia
  5. E78.5, Hyperlipidemia, unspecified
You can see that ICD-9 and ICD-10 Hyperlipidemia have matching codes for
  • Pure Hypercholesterolemia (272.0, E78.0)
  • Pure Hyperglyceridemia (272.1, E78.1)
  • Mixed Hyperlipidemia (272.2, E78.2)

But where ICD-9 have have one code for other and unspecified hyperlipidemia (272.4), ICD-10 have separate codes for “E78.4 Other Hyperlipidemia” and “E78.5 Hyperlipidemia unspecified”.

Your clinicians documentation shouldn’t need to change from its current form. All you need to do as a coder to capture this already present information is to format your superbill to capture the difference between “other” and “unspecified” hyperlipidemia. “Other” means the physician documented the type, but ICD-10 doesn’t offer a code specific to the documented type. “Unspecified” means the physician did not document the type of hyperlipidemia.

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