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E78.3

E78.3: Hyperchylomicronemia

Billable / specific codeICD-10-CM

E78.3 is a billable, specific ICD-10-CM code for hyperchylomicronemia. It is valid for submission on a claim.

Check E78.3 with the rest of the claim: free scrubber

Inclusion terms

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

  • Chylomicron retention disease
  • Fredrickson's hyperlipoproteinemia, type I or V
  • Hyperlipidemia, group D
  • Mixed hyperglyceridemia

Excludes1 inherited from the categories above E78.3

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

E78.3 is named in 9 Medicare coverage policies: 9 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

  • Bürger-Grütz disease or syndrome
  • Chylomicronemia(fasting) (with hyperprebetalipoproteinemia)
  • Hyperchylomicronemia(familial) (primary)
  • Disease, diseased›Bürger-Grütz(essential familial hyperlipemia)
  • Disease, diseased›chylomicron retention
  • Frederickson's hyperlipoproteinemia, type›I and V
  • Hepatosplenomegaly›hyperlipemic(Bürger-Grütz type)
  • Hyperchylomicronemia›with hyperbetalipoproteinemia
  • Hyperglyceridemia›mixed
  • Lipemia›retina, retinalis
  • Lipidosis›hepatosplenomegalic
  • Prebetalipoproteinemia›with chylomicronemia

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under E78

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.