ICD code E78.2 is used to classify mixed hyperlipidemia, a condition involving abnormal levels of lipids in the blood.
ICD code E78.2 is a classification used to identify mixed hyperlipidemia, a condition characterized by elevated levels of various types of lipids in the blood, including cholesterol and triglycerides. This condition can increase the risk of cardiovascular diseases and often requires management through lifestyle changes and medication.
1. Elevated Cholesterol Levels: Use the ICD code when laboratory tests indicate elevated levels of total cholesterol in the blood, which may include both LDL (low-density lipoprotein) and HDL (high-density lipoprotein).
2. Elevated Triglyceride Levels: Document the ICD code if blood tests reveal increased triglyceride levels, which are a type of fat found in the blood.
3. Combination of Hypercholesterolemia and Hypertriglyceridemia: Apply the ICD code when a patient presents with both high cholesterol and high triglyceride levels, indicating a mixed pattern of lipid abnormalities.
4. Family History of Hyperlipidemia: Consider using the ICD code if there is a documented family history of lipid disorders, which may predispose the patient to mixed hyperlipidemia.
5. Presence of Xanthomas: Use the ICD code if the patient exhibits xanthomas, which are fatty deposits that can appear on the skin, often associated with lipid disorders.
6. Coronary Artery Disease or Atherosclerosis: Apply the ICD code when mixed hyperlipidemia is identified as a contributing factor to coronary artery disease or atherosclerosis, based on clinical evaluation and diagnostic imaging.
7. Metabolic Syndrome: Utilize the ICD code if the patient is diagnosed with metabolic syndrome, which often includes a combination of high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.
8. Obesity or Overweight: Consider the ICD code when mixed hyperlipidemia is present in conjunction with obesity or being overweight, as these conditions can exacerbate lipid abnormalities.
9. Diabetes Mellitus: Use the ICD code if the patient has diabetes mellitus, as this condition is frequently associated with mixed lipid disorders.
10. Lifestyle Factors: Apply the ICD code when lifestyle factors such as a high-fat diet, sedentary lifestyle, or excessive alcohol consumption contribute to the mixed hyperlipidemia diagnosis.
For the ICD code E78.2 (Mixed hyperlipidemia), the relevant CPT codes that may be applicable for treatment and management include:
1. 80061 - Lipid panel, which typically includes total cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides.
2. 82465 - Cholesterol, serum or whole blood, total.
3. 83718 - Lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol).
4. 84478 - Triglycerides.
These CPT codes are commonly used for laboratory tests that help in diagnosing and managing mixed hyperlipidemia. It's important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical context.
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