MCMedicalCodingSoftware
Free trial
E78.019

E78.019: Familial hypercholesterolemia, unspecified

Billable / specific codeICD-10-CM

E78.019 is a billable, specific ICD-10-CM code for familial hypercholesterolemia, unspecified. It is valid for submission on a claim.

Check E78.019 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Familial hypercholesterolemia NOS

Excludes1 inherited from the categories above E78.019

A category’s note binds every code beneath it.

Written on E78: Disorders of lipoprotein metabolism and other lipidemias

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

E78.019 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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

Alphabetic index entries that lead here

  • Cholesterolemia›familial
  • Cholesterolemia›hereditary
  • Hypercholesterolemia›familial
  • Hypercholesterolemia›hereditary

Code history

  • addedFY2024-FY2027

    Familial hypercholesterolemia, unspecified

Other codes under E78.01

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.