E78.49

Billable

Other hyperlipidemia

HCC Category Mapping

RxHCCHCC 47 — Disorders of Fatty-Acid and Lipid Metabolism

0.000

What This Code Means

A condition involving abnormally high levels of fats in the blood that don't fit into other specific lipid disorder categories.

Coding Tips

•Use this code only when the specific type of hyperlipidemia is not better described by other E78.4x codes
•Document which lipid values are elevated (triglycerides, cholesterol, etc.) in the medical record

Clinical Significance

Other hyperlipidemia captures lipid elevations that do not fit the standard categories of pure hypercholesterolemia, pure hypertriglyceridemia, or mixed hyperlipidemia. This includes conditions like broad-beta disease (Type III hyperlipoproteinemia/familial dysbetalipoproteinemia) and other atypical lipid patterns requiring specialized lipid management.

Documentation Requirements

✓Provider documentation of the specific type of hyperlipidemia that is classified as 'other'
✓Complete lipid panel with specific abnormalities identified
✓Lipoprotein electrophoresis or advanced lipid testing if performed
✓Underlying etiology if secondary (hypothyroidism, nephrotic syndrome, medications)
✓Treatment plan tailored to the specific lipid abnormality

Commonly Confused Codes

E78.00 — Pure hypercholesterolemia: for isolated LDL elevation E78.1 — Pure hyperglyceridemia: for isolated triglyceride elevation E78.2 — Mixed hyperlipidemia: for combined cholesterol and triglyceride elevation E78.41 — Elevated Lipoprotein(a): has its own specific code, do not use E78.49 E78.5 — Hyperlipidemia, unspecified: use only when the lipid pattern is truly undetermined

Code Hierarchy

└E78Disorders of lipoprotein metabolism and other lipidemias └E78.4Other hyperlipidemia └E78.49Other hyperlipidemia

└E78.49Other hyperlipidemia