Is E78.2 a billable ICD-10-CM code?

Yes. E78.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does E78.2 sit in the tabular list?

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

What cannot be coded together with E78.2?

E78.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

E78.2

E78.2 — Mixed hyperlipidemia

Billable / specific codeICD-10-CM

E78.2 is a billable, specific ICD-10-CM code for mixed hyperlipidemia. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

cerebrotendinous cholesterosis [van Bogaert-Scherer- Epstein] (E75.5)
familial combined hyperlipidemia (E78.49)

Inclusion terms

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

Broad- or floating-betalipoproteinemia
Combined hyperlipidemia NOS
Elevated cholesterol with elevated triglycerides NEC
Fredrickson's hyperlipoproteinemia, type IIb or III
Hyperbetalipoproteinemia with prebetalipoproteinemia
Hypercholesteremia with endogenous hyperglyceridemia
Hyperlipidemia, group C
Tubo-eruptive xanthoma
Xanthoma tuberosum

Other codes that can never be billed with E78.2

These codes carry an Excludes1 note pointing at E78.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E78.2 alone.

M67Other disorders of synovium and tendon

Risk adjustment

E78.2 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

E78.2 is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How E78.2 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 E78.2.

Betalipoproteinemia, broad or floating
Broad- or floating-betalipoproteinemia
Dysbetalipoproteinemia(familial)
Xanthelasmatosis(essential)
Xanthoma(s), xanthomatosis (primary) (familial) (hereditary)
Broad›beta disease
Frederickson's hyperlipoproteinemia, type›IIB and III
Hyperbetalipoproteinemia›with prebetalipoproteinemia
Hypercholesterolemia›with hyperglyceridemia, endogenous
Hyperlipemia, hyperlipidemia›combined
Hyperlipemia, hyperlipidemia›mixed
Lipoproteinemia›broad-beta

Related codes at this level

Codes that share E78. If E78.2 is not quite right, the correct code is usually one of these.

Questions about E78.2

Is E78.2 a billable ICD-10-CM code?: Yes. E78.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E78.2 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Metabolic disorders (E70-E88).
What cannot be coded together with E78.2?: E78.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.