E78.4
E78.4 — Other hyperlipidemia
Non-billable headerICD-10-CM
E78.4 is a non-billable header ICD-10-CM code for other hyperlipidemia. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with E78.4
These codes carry an Excludes1 note pointing at E78.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E78.4 alone.
- E78.2Mixed hyperlipidemia
Risk adjustment
E78.4 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.
Code to one of these instead E78.4
2 child codes. Green means billable.
Related codes at this level
Codes that share E78. If E78.4 is not quite right, the correct code is usually one of these.
- E78.0Pure hypercholesterolemia
- E78.1Pure hyperglyceridemia
- E78.2Mixed hyperlipidemia
- E78.3Hyperchylomicronemia
- E78.5Hyperlipidemia, unspecified
- E78.6Lipoprotein deficiency
- E78.7Disorders of bile acid and cholesterol metabolism
- E78.8Other disorders of lipoprotein metabolism
- E78.9Disorder of lipoprotein metabolism, unspecified
Questions about E78.4
- Is E78.4 a billable ICD-10-CM code?
- No. E78.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E78.4 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Metabolic disorders (E70-E88).