ICD-10 Code E78.70 – Disorder of bile acid and cholesterol metabolism, unspecified (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Disorder of bile acid and cholesterol metabolism, unspecified is E78.70.
2026 ICD-10-CM Diagnosis Code E78.70 – Disorder of bile acid and cholesterol metabolism, unspecified

What it is

E78.70 identifies an unspecified disorder affecting bile acid and cholesterol metabolism. Use it when the record confirms a metabolic abnormality in this pathway but does not name a more specific diagnosis.

Clinical signs

Clinical features vary; refer to documentation. You may see abnormal lipid handling, bile-related metabolic findings, or a noted disorder of cholesterol or bile acid processing without further detail.

When to use this code

Use this code when the clinician documents a bile acid or cholesterol metabolism disorder and does not specify the exact type. It is appropriate for incomplete descriptions, such as “bile acid metabolism disorder” or “cholesterol metabolism disorder,” when no more specific code is supported. Check documentation if the condition is better described elsewhere.

Do not use for

Do not use E78.70 when the record identifies a specific lipid disorder, such as hypercholesterolemia or another named dyslipidemia. Also avoid it if the documentation only mentions abnormal labs without a diagnosed metabolic disorder.

Coding tip

Query for specificity when the diagnosis is vague, because a more exact lipid or metabolic code may be available.

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