ICD-10-CM Code E78.019
Familial hypercholesterolemia, unspecified
Diagnosis information
Billable
Yes
Valid for claim submission
Chapter
E00–E89
Endocrine, nutritional and metabolic diseases
Risk adjustment
None
Not risk-adjustable (V28)
More codes in the E78 category
Other billable ICD-10-CM codes in the same category as E78.019. Coding to the highest specificity the documentation supports is what keeps a claim clean — pick the child code that most precisely matches the diagnosis.
- E78.00Pure hypercholesterolemia, unspecified
- E78.010Homozygous familial hypercholesterolemia [HoFH]
- E78.011Heterozygous familial hypercholesterolemia [HeFH]
- E78.1Pure hyperglyceridemia
- E78.2Mixed hyperlipidemia
- E78.3Hyperchylomicronemia
- E78.41Elevated Lipoprotein(a)
- E78.49Other hyperlipidemia
- E78.5Hyperlipidemia, unspecified
- E78.6Lipoprotein deficiency
- E78.70Disorder of bile acid and cholesterol metabolism, unspecified
- E78.71Barth syndrome
Documentation & coding notes
- E78.019 is a billable/specific ICD-10-CM code — it can be reported as a primary or secondary diagnosis when the documentation supports it. Code to the highest level of specificity the record allows.
- Always verify the code against the current ICD-10-CM Official Guidelines and the payer's coverage policy before submitting — coverage, medical necessity edits, and sequencing rules vary by payer.
Related E00–E89 codes
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Medical coding disclaimer
ICD-10-CM codes and descriptions shown are from the CMS FY2026 official code set and HCC mappings from the CMS-HCC V28 model (payment year 2026), shown for educational reference. Official Guidelines, payer coverage, medical-necessity edits, and sequencing rules vary. Always verify with the current ICD-10-CM Official Guidelines and the payer before submitting claims. D3rx is not responsible for coding or billing outcomes.