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ICD-10-CM 2027

ICD-10 code for fasting triglycerides elevated

E78.1

Pure hyperglyceridemia

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Elevated, elevation › fasting triglycerides”. Page updated September 29, 2026.

About coding fasting triglycerides elevated

The ICD-10-CM code for fasting triglycerides elevated is E78.1 (Pure hyperglyceridemia).

Within E78 (disorders of lipoprotein metabolism and other lipidemias), E78.1 is specifically for pure hyperglyceridemia. Related codes cover pure hypercholesterolemia (E78.0), mixed hyperlipidemia (E78.2), Hyperchylomicronemia (E78.3), other hyperlipidemia (E78.4), hyperlipidemia, unspecified (E78.5), lipoprotein deficiency (E78.6), disorders of bile acid and cholesterol metabolism (E78.7), other disorders of lipoprotein metabolism (E78.8) and 1 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 642 (Inborn and Other Disorders of Metabolism, relative weight 1.3219), in MDC 10 (Endocrine, Nutritional and Metabolic Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about fasting triglycerides elevated ICD-10 codes

What is the ICD-10 code for fasting triglycerides elevated?

E78.1 — Pure hyperglyceridemia.

Is E78.1 billable?

Yes. E78.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can E78.1 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict E78.1 as a principal diagnosis.

Is E78.1 a CC or MCC?

No. E78.1 is neither a CC nor an MCC under MS-DRG v44.0.