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.
In ICD-10-CM, chapter 4, "Endocrine, nutritional and metabolic diseases (E00-E89)," includes a separate subchapter (block), Diabetes mellitus E08-E13, with the categories:
Prediabetes
The 2022 edition of ICD-10-CM E11. 69 became effective on October 1, 2021.
ICD-10 code E78. 5 for Hyperlipidemia, unspecified is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
ICD-10-CM Code for Mixed hyperlipidemia E78. 2.
A disorder of lipoprotein metabolism characterized by high levels of cholesterol and triglycerides in the blood. It is caused by elevation of low density and very low density lipoproteins.
Hyperlipidemia (high cholesterol) means your blood has too many lipids (fats) in it. These can add up and lead to blockages in your blood vessels. This is why high cholesterol can put you at risk for a stroke or heart attack.
Familial combined hyperlipidemia (or mixed hyperlipidemia) is a genetic disorder that passes from one family member to another through their genes. If you have this disease, it means you have higher-than-usual levels of: cholesterol. triglycerides. other lipids in your blood.
Mixed hyperlipidemia, also called familial combined hyperlipidemia, is a condition that causes elevated levels of fats in the blood, such as low-density lipoprotein (LDL) cholesterol ("bad" cholesterol) and triglycerides. Mixed hyperlipidemia can be passed down through families.
You wouldn't code them together. Cholesterol is a type of lipid. If the provider diagnosed pure hypercholesterolemia, you would code that. It is more specific than hyperlipidemia, unspecified.
272.2ICD-9 code 272.2 for Mixed hyperlipidemia is a medical classification as listed by WHO under the range -OTHER METABOLIC AND IMMUNITY DISORDERS (270-279).
DIABETES AND HYPERLIPIDEMIA VLDL and chylomicrons, which transport endogenous and exogenous triglycerides, are broken down by lipoprotein lipases. In insulin deficiency, the activity of the lipoprotein lipases is decreased,8 and this is one of the most common causes of hyperlipidemia in poorly controlled diabetes.
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
For example, E78. 2 Mixed hyperlipidemia cannot be coded with 5-alpha-reductase deficiency (E29. 1 Testicular hypofunction), but the note for this is not at E78.
It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E10. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
With type 1 diabetes, your pancreas does not make insulin. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth.
Hyperlipidemia can occur due to food habit, secondary to any other underlying disease, genetic abnormalities or idiopathic (unknown cause). If it is secondary to any other disease, both primary and secondary should be coded, remember to apply combination coding guidelines if applicable.
Hyperlipidemia refers to increase in any type of lipid (fat) in blood. We use common name “high cholesterol” instead of saying hyperlipidemia. Though not in detail, it is important to understand the basics of lipids to code to the highest specificity. There are two types of lipids: Triglycerides. Cholesterol.
Hence increase in the level of lipids is risk factors for cardiovascular problems and stroke. It may even cause obesity, fat deposits on skin, enlargement of organs like spleen, pancreas or liver. Lipid Panel – It is a lab test using specimen as blood to find any type of fat increase in blood.
He quit smoking 2 years ago. Medication list includes Lisinopril, insulin, clopidogrel.
LDL cholesterol –These are called “bad cholesterol” because it gets stored in blood vessels.
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.