ICD-10 Guide

Hyperlipidemia Screening

ICD-10 Coding for Hyperlipidemia Screening(Z13.220, E78.01)

PRIMARY SPECIALTYPrimary Care

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hyperlipidemia Screening?

Essential facts and insights about Hyperlipidemia Screening

Key Clinical Considerations:

Elevated cholesterol levels without symptoms
Lipid panel showing total cholesterol, LDL, HDL, and triglycerides
No significant physical exam findings specific to hyperlipidemia

Clinical Information

Clinical Criteria & Documentation Requirements

Patient's lipid panel results and interpretation
Use of terms like 'hyperlipidemia' or 'dyslipidemia'
Example: 'Patient presents for routine hyperlipidemia screening; lipid panel ordered.'

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for age and risk factors when selecting codes.
Common errors include using outdated codes or failing to document risk factors.

Code Exclusions

Important Exclusions

Secondary causes of hyperlipidemia (e.g., diabetes, hypothyroidism).
Codes for specific lipid disorders not covered under general hyperlipidemia.

Specialty Focus

Primary Specialty

Primary Care

Specialty Applications

Adults aged 20 and older, especially those with risk factors like obesity or family history.
Primary care settings, preventive health visits.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document lipid panel results and clinical rationale for screening.

Billing considerations?

Ensure appropriate ICD-10 codes are used to support medical necessity.

Hyperlipidemia Screening

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

Hyperlipidemia Screening

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?