ICD-10 Code E78.41 – Elevated Lipoprotein(a) (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E78.41 – Elevated Lipoprotein(a)
What it is
E78.41 identifies an elevated lipoprotein(a) level, a specific inherited lipid abnormality. Use it when documentation states lipoprotein(a) is high or elevated.
Clinical signs
Clinical features vary; refer to documentation. Elevated lipoprotein(a) is often found on laboratory testing and may be noted in patients with increased cardiovascular risk or a family history of premature heart disease.
When to use this code
Use this code when the provider documents elevated lipoprotein(a), high Lp(a), or lipoprotein(a) abnormality. It may also apply when the condition is listed as a current diagnosis being assessed or monitored.
Code it only when the record clearly identifies lipoprotein(a) elevation. Check documentation if the note mentions general dyslipidemia, hyperlipidemia, or other lipid disorders without naming Lp(a).
Do not use for
Do not use E78.41 for unspecified hyperlipidemia or other cholesterol disorders unless lipoprotein(a) is specifically documented. Do not assign it from screening results alone without a diagnosed condition.
Coding tip
Look for the exact term “lipoprotein(a)” or “Lp(a)” in the assessment, not just abnormal lipids.