ICD-10 Code E78.7 – Disorders of bile acid and cholesterol metabolism (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E78.7 – Disorders of bile acid and cholesterol metabolism
What it is
E78.7 identifies a disorder affecting bile acid or cholesterol metabolism. Use it when documentation describes an inherited or acquired metabolic problem involving abnormal handling of these substances.
Clinical signs
Clinical features vary; refer to documentation. Patients may present with findings related to abnormal lipid or bile acid metabolism, but the specific signs depend on the underlying disorder and recorded diagnosis.
When to use this code
Use this code when the provider documents a disorder of bile acid metabolism, cholesterol metabolism, or both, and no more specific code is available. It may also apply when the chart names a related metabolic condition without further detail. Check documentation if the record is unclear.
Do not use for
Do not use E78.7 for routine hyperlipidemia, hypercholesterolemia, or isolated lipid abnormalities that have a different specified code. If the note gives a more specific diagnosis, code that condition instead.
Coding tip
Code only from the provider’s stated diagnosis; if the metabolic disorder is unspecified, verify whether a more precise E78 code is documented.