E78.019 — Familial hypercholesterolemia, unspecified
E78.019 is a billable, specific ICD-10-CM code for familial hypercholesterolemia, unspecified. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Familial hypercholesterolemia NOS
Risk adjustment
E78.019 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.
Medicare coverage
E78.019 is named in 21 Medicare coverage policies — 21 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56289Billing and Coding: Therapeutic Apheresis for Familial Hypercholesterolemia
- A56774Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
- A56943Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
- A57037Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
How E78.019 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E78.019.
- Cholesterolemia›familial
- Cholesterolemia›hereditary
- Hypercholesterolemia›familial
- Hypercholesterolemia›hereditary
Related codes at this level
Codes that share E78.01. If E78.019 is not quite right, the correct code is usually one of these.
Questions about E78.019
- Is E78.019 a billable ICD-10-CM code?
- Yes. E78.019 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E78.019 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Metabolic disorders (E70-E88).