ICD-10 Code E78.019 – Familial hypercholesterolemia, unspecified (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Familial hypercholesterolemia, unspecified is E78.019.
2026 ICD-10-CM Diagnosis Code E78.019 – Familial hypercholesterolemia, unspecified

What it is

E78.019 identifies familial hypercholesterolemia when the record does not specify the exact type. It refers to an inherited disorder that causes high cholesterol and should be coded from the documented diagnosis.

Clinical signs

Clinical features vary; refer to documentation. Commonly documented findings include a family history of early cardiovascular disease, markedly elevated cholesterol, or physical signs such as tendon xanthomas or corneal arcus.

When to use this code

Use this code when the provider documents familial hypercholesterolemia but does not identify a more specific subtype. It also fits when the chart confirms the condition and no further detail is available.

Code from the clinician’s stated diagnosis, not from cholesterol results alone. If the note specifies heterozygous, homozygous, or another form, check documentation and select the more specific code.

Do not use for

Do not use this code for acquired hyperlipidemia, isolated high cholesterol, or screening results without a diagnosis. Check documentation if the record only says hyperlipidemia or elevated lipids.

Coding tip

Query the provider when familial hypercholesterolemia is mentioned without subtype detail, because a more specific code may apply.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *