Is E78.01 a billable ICD-10-CM code?

No. E78.01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E78.01 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Metabolic disorders (E70-E88).

E78.01

E78.01 — Familial hypercholesterolemia

Non-billable headerICD-10-CM

E78.01 is a non-billable header ICD-10-CM code for familial hypercholesterolemia. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

E78.01 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead E78.01

3 child codes. Green means billable.

Related codes at this level

Codes that share E78.0. If E78.01 is not quite right, the correct code is usually one of these.

E78.00Pure hypercholesterolemia, unspecified

Questions about E78.01

Is E78.01 a billable ICD-10-CM code?: No. E78.01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E78.01 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Metabolic disorders (E70-E88).