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
- 272.0, Pure hypercholesterolemia
- 272.1, Pure hyperglyceridemia
- 272.2, Mixed hyperlipidemia
- 272.4, Other and unspecified hyperlipidemia
Hyperlipidemia ICD10 Codes
- E78.0, Pure hypercholesterolemia
- E78.1, Pure hyperglyceridemia
- E78.2, Mixed hyperlipidemia
- E78.4, Other hyperlipidemia
- E78.5, Hyperlipidemia, unspecified
- 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.