Diabetes mellitus, obesity, and hyperadrenocorticism can affect the liver in such a way that the liver produces more very-low-density lipoprotein (VLDL), resulting in increased lipid levels in the blood. Other diseases, like nephrotic syndrome, cause the liver to increase production of cholesterol.
People with Type 2 diabetes are at especially high risk for hyperlipidemia, most commonly in the form of elevated triglyceride levels and decreased HDL levels.
What does hyperlipidemia unspecified mean? Hyperlipidemia is a medical term for abnormally high levels of fats (lipids) in the blood. The two major types of lipids found in the blood are triglycerides and cholesterol. Hyperlipidemia is more commonly known as high cholesterol. Read More
5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Hyperlipidemia, Unspecified. Its corresponding ICD-9 code is 272.4. Code E78. 5 is the diagnosis code used for Hyperlipidemia, Unspecified, a disorder of lipoprotein metabolism other lipidemias. Also Know, is hyperlipidemia the same as high cholesterol?
E78.5ICD-Code E78. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Hyperlipidemia, Unspecified.
E08, Diabetes mellitus due to underlying condition.
E11. 69 Type 2 diabetes mellitus with other specified complication - ICD-10-CM Diagnosis Codes.
ICD-10 Code for Type 2 diabetes mellitus with other specified complication- E11. 69- Codify by AAPC.
Type 2 diabetes mellitus with other circulatory complications. E11. 59 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Type 2 diabetes mellitus with other circulatory complicationsICD-10 Code for Type 2 diabetes mellitus with other circulatory complications- E11. 59- Codify by AAPC.
21 and E11. 22 have an excludes 1 notes therefore they can be coded together as long as a separate renal manifestation is present, I would just be careful when coding the actual renal condition as there are some renal codes that are excluded when using CKD codes.
So yes, use the appropriate combination codes, being E11. 22, I12. 9 and N18. 3.
E66. 01 is morbid (severe) obesity from excess calories.
ICD-10 code: E11. 9 Type 2 diabetes mellitus Without complications.
8: Type 2 diabetes mellitus With unspecified complications.
80061 Lipid panel A lipid panel includes the following tests: total serum cholesterol (82465), high–density cholesterol (HDL cholesterol) by direct measurement (83718), and triglycerides (84478). Blood specimen is obtained by venipuncture.
Speech language pathologists may perform services coded as CPT codes 92507, 92508, or 92526.
Having a high amount of body fat (body mass index [bmi] of 30 or more). Having a high amount of body fat. A person is considered obese if they have a body mass index (bmi) of 30 or more.
CPT 92507 will be reported with modifier XK if the physician attests that therapy is performed longer than usual due to exceptional circumstances and medical documentation supporting this service and medically appropriate.
The 2022 edition of ICD-10-CM E78.4 became effective on October 1, 2021.
Clinical Information. A type of familial lipid metabolism disorder characterized by a variable pattern of elevated plasma cholesterol and/or triglycerides. Multiple genes on different chromosomes may be involved, such as the major late transcription factor (upstream stimulatory factors) on chromosome 1.
Conventions, general coding guidelines and chapter specific guidelines", it spells this out: The word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated....
If it's not documented as a complication caused by the diabetes, then you can't code it as a complication unless the code book directs you to it through a 'with' entry in the index, as Debra describes above.
In your example, since hyperlipidemia does not appear listed under diabetes as an option after 'with', you cannot presume the causal relationship, and it cannot be coded as a complication of diabetes unless the provider has documented that the diabetes caused that condition.
I would code it as I10 for hypertension and E11.9 for diabetes.
Per our recent Humana audit, it was indicated that diabetes and hypertension have an assumed relationship and it should be coded as E11.59 (for type 2 diabetic.) We did not code them this way and got dinged every visit they audited for us coding I10 and E11.9. I disagreed with the lady, but they are then ones doing the auditing....
we should code diabetes-E11.9 and hypertension-I10 separately. Diabetes is not always associated with hypertension, We should read provider documentation clearly and code it accordingly.
The ICD-10 guidance is that a causal relationship is presumed when the word 'with' appears in the ICD-10 alphabetic index or tabular list, not when it appears in the medical record. So I would not presume a relationship from the documentation example you give here. 'Associated with' should not be assumed to mean 'caused by', and neither hyperlipidemia nor atherosclerosis are linked to diabetes in ICD-10.
More than 3 million people have this genetic disorder in the United States and Europe. It is extremely common for those who live in developed countries and follow a Western high-fat diet. Hyperlipidemia is usually chronic, requiring ongoing statin medication to control blood lipid levels.
Hyperlipidemia is an umbrella term that refers to any of several acquired or genetic disorders that result in a high level of lipids (fats, cholesterol, and triglycerides) circulating in the blood. These lipids can enter the walls of arteries and increase your risk of developing atherosclerosis (hardening of the arteries), which can lead to stroke, heart attack, and the need to amputate. The risk of atherosclerosis is higher if you smoke, or if you have or develop diabetes, high blood pressure, and kidney failure.
Elevated blood lipid levels alone do not cause symptoms, except with pancreatitis (painful inflammation of the pancreas). However, if it results in coronary heart disease (CHD) or atherosclerosis, symptoms in adults can include chest pain or pressure (angina), blockage of blood vessels in the brain and heart, high blood pressure, heart attack, and stroke.
The ICD code E78 is used to code Hyperlipidemia. Hyperlipidemia, hyperlipoproteinemia, or hyperlipidaemia (British English) involves abnormally elevated levels of any or all lipids and/or lipoproteins in the blood. It is the most common form of dyslipidemia (which includes any abnormal lipid levels). Specialty: Cardiology.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code E78.5 and a single ICD9 code, 272.4 is an approximate match for comparison and conversion purposes.
DRG Group #642 - Inborn and other disorders of metabolism.
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
BMI codes (Z68) should only be coded when there is a diagnosis such as obesity, overweight, underweight etc.
Note : Obesity should be coded from physical exam along with current BMI value.
The ICD code E782 is used to code Hypertriglyceridemia. Hypertriglyceridemia denotes high (hyper-) blood levels (-emia) of triglycerides, the most abundant fatty molecule in most organisms. Elevated levels of triglycerides are associated with atherosclerosis, even in the absence of hypercholesterolemia (high cholesterol levels), ...
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.