E78.1

E78.1: Pure hyperglyceridemia

Billable / specific codeICD-10-CM

E78.1 is a billable, specific ICD-10-CM code for pure hyperglyceridemia. It is valid for submission on a claim.

Check E78.1 with the rest of the claim: free scrubber

Inclusion terms

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

Elevated fasting triglycerides
Endogenous hyperglyceridemia
Fredrickson's hyperlipoproteinemia, type IV
Hyperlipidemia, group B
Hyperprebetalipoproteinemia
Very-low-density-lipoprotein-type [VLDL] hyperlipoproteinemia

Excludes1 inherited from the categories above E78.1

A category’s note binds every code beneath it.

Written on E78: Disorders of lipoprotein metabolism and other lipidemias

sphingolipidosis (E75.0-E75.3)

Risk adjustment

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

Medicare coverage

E78.1 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56416Billing and Coding: Assays for Vitamins and Metabolic Function
A56422Billing and Coding: Bariatric Surgical Management of Morbid Obesity
A56675Billing and Coding: Homocysteine Level, Serum
A56943Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment

Alphabetic index entries that lead here

Hyperglyceridemia(endogenous) (essential) (familial) (hereditary) (pure)
Hyperprebetalipoproteinemia(familial)
Hypertriglyceridemia, essential
Prebetalipoproteinemia(acquired) (essential) (familial) (hereditary) (primary) (secondary)
Very-low-density-lipoprotein-type hyperlipoproteinemia(VLDL)
Dyslipidemia›elevated fasting triglycerides
Elevated, elevation›fasting triglycerides
Elevated, elevation›triglycerides
Frederickson's hyperlipoproteinemia, type›IV
High›triglycerides
Hyperlipoproteinemia›very-low-density-lipoprotein-type(VLDL)
Lipoproteinemia›hyper-pre-beta

Code history

Unchanged in every release from FY2024 to FY2027.