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v1.0.0
ICD-10 Guide
DiagnosesLipid Screening

Lipid Screening

ICD-10 Coding for Lipid Screening(Z13.220, E78.5)

PRIMARY SPECIALTYPrimary Care
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Lipid Screening?
Essential facts and insights about Lipid Screening

Key Clinical Considerations:

  • Asymptomatic adults aged 40 and older
  • Elevated total cholesterol or triglycerides in previous tests
  • Family history of hyperlipidemia or cardiovascular disease

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's age and risk factors
  • Date of last lipid panel
  • Results of lipid panel including total cholesterol, LDL, HDL, and triglycerides

Coding Guidelines

Usage Guidelines & Examples

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  • Common errors include using outdated codes or failing to document risk factors.

Code Exclusions

Important Exclusions

  • Patients with known lipid disorders already under treatment.
  • ICD codes for specific lipid disorders like familial hypercholesterolemia.

Related ICD-10 Codes

Primary Codes
Z13.220
Encounter for screening for lipoid disorders
E78.5
Hyperlipidemia, unspecified
Ancillary Codes
Z00.00
Differential Codes
E78.5
Z13.220
Z13.220
for asymptomatic screening without a known disorder.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Primary Care

Specialty Applications

  • Adults aged 40 and older, patients with diabetes, and those with a family history of heart disease.
  • Primary care settings, preventive health screenings.

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

What are the documentation requirements?

Document patient demographics, risk factors, and lipid panel results.

What are the billing considerations?

Ensure correct coding based on the patient's risk factors and lipid levels.