Hyperlipidemia

Hyperlipidemia (hyperlipemia) involves abnormally elevated levels of any or all lipids and/or lipoproteins in the blood. Hyperlipidemias may basically be classified as either familial (also called primary) caused by specific genetic abnormalities, or acquired (also called secondary) when resulting from another underlying disorder that leads to alterations in plasma lipid and lipoprotein metabolism. Also, hyperlipidemia may be idiopathic, that is, without known cause.

Hyperlipidemias are also classified according to which types of lipids are elevated, that is hypercholesterolemia, hypertriglyceridemia or both in combined hyperlipidemia. Elevated levels of Lipoprotein may also be classified as a form of hyperlipidemia.

Familial hyperlipidemias are classified according to the Fredrickson classification which is based on the pattern of lipoproteins on electrophoresis. It was later adopted by the World Health Organization (WHO). The ICD-10-CM codes are as follows:

E78.0 Pure Hypercholesterolemia (Group A) Includes: Fredickson’s hyperlipoproteinemia, type IIa; hyperbetalipoproteinemia;

low-density-lipoprotein-type [LDL] hyperlipoproteinemia

E78.1 Pure Hyperglyceridemia (Group B) Includes: pure hyperglyceridemia; elevated fasting triglycerides; endogenous
hyperglyceridemia; Fredickson’s hyperlipoproteinemia, type IV; hyperprebetalipoproteinemia; very-low-density-lipoprotein-type
[VLDL] hyperlipoproteinemia

E78.2 Mixed Hyperlipidemia (Group C) Includes: broad- or floating-betalipoproteinemia; combined hyperlipidemia NOS; elevated
cholesterol with elevated triglycerides NEC; Fredrickson’s hyperlipoproteinemia, type IIb or III; hyperbetalipoproteinemia with
prebetalipoproteinemia; hypercholesteremia with endogenous hyperglyceridemia; tubo-eruptive xanthoma; xanthoma tuberosum

E78.3 Hyperchylomicronemia (Group D) Includes: hyperchylomicronemia; mixed hyperglyceridemia; chylomicron retention
disease; Fredickson’s hyperlipoproteinemia, type I and V

E78.4 Other Hyperlipidemia Includes: Familial combined hyperlipidemia

E78.5 Hyperlipidemia, unspecified




ICD 10 and ICD 9 code for hyperlipidemia

E78.5 – Hyperlipidemia, unspecified
E78.2 – Mixed hyperlipidemia
E78.4 – Other hyperlipidemia
E78.3 – Hyperchylomicronemia
E78.0 – Pure hypercholesterolemia
E78.1 – Pure hyperglyceridemia

ICD-9: 272.4
E78
Excludes1: sphingolipidosis (E75.0-E75.3)
E70-E88
Excludes1: androgen insensitivity syndrome (E34.5-)
congenital adrenal hyperplasia (E25.0)
Ehlers-Danlos syndrome (Q79.6)
hemolytic anemias attributable to enzyme disorders (D55.-)
Marfan’s syndrome (Q87.4)
5-alpha-reductase deficiency (E29.1)
E00-E89
ICD-9-CM Diagnosis Codes  –  ICD-10-CM Diagnosis Codes
272.4 Other and unspecified
hyperlipidemia –  E78.5 Hyperlipidemia, unspecified

ICD-10-CM Codes

E78.4 Other hyperlipidemia
E78.5 Hyperlipidemia, unspecified

**There are more specific code choice selections available in

ICD-10-CM. These include:


E78.0 Pure hypercholesterolemia
E78.1 Pure hyperglyceridemia
E78.2 Mixed hyperlipidemia
E78.3 Hyperchylomicronemia
E78.6 Lipoprotein deficiency
786.59 Chest pain, other


ICD-10-CM Codes


R07.89 Other chest pain NOS
R07.82 Intercostal pain

Be
aware of causes, signs and treatments for hyperlipidemia

Many treatments are available for
sufferers of health problems in our time. On the other hand, some people do not
aware about signs of ill health condition almost immediately. It is the right
to gain knowledge of the most common illness hyperlipidemia and make an informed decision about how to heal this
health problem as safe as possible. In general, Hyperlipidemia is an elevation
of fat proteins in the blood known as high cholesterol. Sufferers of this
health problem these days get the ever-increasing risks of heart diseases
development. They have to identify the main causes of this health problem and
try to keep away from unhealthy lifestyle at least hereafter. 

Causes

If you are a health conscious person at
this time and seek the main causes of ever-increasing fat proteins in the
blood, then you can listen to the following details.
·        
Obesity
·        
Poor diet
·        
Cigarette smoking
·        
Genetic predisposition
·        
Inactive lifestyle

Signs
and symptoms

There are no visible signs and symptoms
of hyperlipidemia except yellowish fatty growth namely xanthomas and high
cholesterol around the eyes and joints. 
People of every age group have to check the high cholesterol content at
regular intervals and get the best treatment when they suffer from this ill
health condition.

Test
and diagnosis  
A lipid profile is a blood test used to
test and diagnose excessive lipoproteins or lipids in the blood.  If you have planned to take this test, then
you have to avoid the consumption of anything 9 to 12 hours prior to the
test.  This is advisable to take this test
at every five years interval after the age 20. 
In the normal lipid profile, total cholesterol is less than 200, LDL is
less than 100, HDL is greater than 50 for women and 40 for men and
Triglycerides less than 140.   

Treatments

The foremost treatment for sufferers of hyperlipidemia in our time is a
positive modification in the lifestyle. 
This is advisable to consult with a qualified dietician and get the
heart healthy diet plan. If you follow this diet plan and do exercises on a
regular basis, then you can get a good improvement in your health condition as
you have expected.  You have to
understand and keep in mind that the overall maintenance of a healthy weight
plays the major role behind the best improvement in the overall health
condition.

Sufferers of high cholesterol in blood
these days have to include foods rich in healthy fat content and avoid foods
rich in cholesterol, saturated fat and trans fats. They can prefer legumes,
fish and nuts for enhancing their health condition further.  They may get much difficulty to reduce their
weight. They have to understand that they cannot reduce weight within a couple
of days. On the other hand, they can follow a healthy lifestyle as suggested by
healthcare professionals to get rid of obesity and its associated health
problems within a short period. They will be in good physical shape and health
condition when they do exercises and follow the best diet plan day after day. 



ICD 10 Code Diagnoses


E83.51 Hypocalcemia
E83.52 Hypercalcemia
E86.0 Dehydration
E86.1 Hypovolemia
E86.9 Fluid volume depletion
E87.0 Hypernatremia
E87.1 Hyponatremia
E87.2 Acidosis
E87.5 Hyperkalemia
E87.5 Hyperpotassemia
E87.6 Hypokalemia
E87.6 Hypopotassemia
E87.79 Fluid overload


Multiple Endocrine Neoplasia (MEN) Syndromes


E31.21 MEN 1
E31.21 Multiple Endocrine Neoplasia, Type I
E31.21 Wermer’s syndrome
E31.22 MEN 2A
E31.22 Multiple Endocrine Neoplasia, Type IIA
E31.22 Sipple’s syndrome
E31.23 MEN 2B
E31.23 Multiple Endocrine Neoplasia, Type IIB
Lipid Disorders
E75.6 Lipidoses
E78.0 Familial hypercholesterolemia
E78.0 Hypercholesterolemia


ICD 10 Code Diagnoses


E78.0 Pure hypercholesterolemia
E78.1 Hypertriglyceridemia
E78.2 Combined hyperlipidemia
E78.2 Mixed hyperlipidemia
E78.2 Xanthoma tuberosum
E78.5 Hyperlipidemia
E78.5 Hyperlipoproteinemia
E78.6 Hypolipidemia
E78.9 Dyslipidemia
E78.9 Lipoid disorder
E88.1 Progressive lipodystrophy


Polyglandular Deficiency Syndromes


E31.0 Schmidt’s syndrome
E31.20 Lloyd’s syndrome
E31.8 Type I Polyglandular deficiency syndromes
E31.8 Type II Polyglandular deficiency syndromes
E31.8 Type III Polyglandular deficiency syndromes


Disorders of Porphyrins


E80.1 Cutaneous porphyria
E80.2 Hematoporphyria
E80.2 Hematoporphyrinuria
E80.2 Protoporphyria
E80.2 Secondary porphyria
E80.2 Toxic porphyria
E80.21 Acute porphyria

Atherosclerotic heart disease of native

coronary artery without angina pectorisI25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris

I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
6 427.31 Atrial fibrillation I48.0 Paroxysmal atrial fibrillation
I48.2 Chronic atrial fibrillation
I48.91 Unspecified atrial fibrillation
7 780.79 Other malaise and fatigue G93.3 Postviral fatigue syndrome
R53.0 Neoplastic (malignant) related fatigue
R53.1 Weakness
R53.81 Other malaise
R53.83 Other fatigue
8 786.05 Shortness of breath R06.02 Shortness of breath
9 414.00 Coronary atherosclerosis of unspecified type of vessel, native or graft I25.10 Atherosclerotic heart disease of native coronary artery w/o angina pectoris
10 428.0 Congestive heart failure, unspecified I50.20 Unspecified systolic (congestive) heart failure