E78.7 – Disorders of bile acid and cholesterol metabolism

ICD-10-CM 2027 diagnosis code · Metabolic disorders

Non-billable header

ICD-10-CM code E78.7

Code: E78.7 (claims format: E787)
Description: Disorders of bile acid and cholesterol metabolism
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 4. Endocrine, nutritional and metabolic diseases (E00-E89)
Block: E70-E88 Metabolic disorders
Parent codes: E78

Billable codes under E78.7

E78.7 is a header code and cannot be used on claims. Choose the most specific code:

E78.70 – Disorder of bile acid and cholesterol metabolism, unspecifiedBillable
E78.71 – Barth syndromeBillable
E78.72 – Smith-Lemli-Opitz syndromeBillable
E78.79 – Other disorders of bile acid and cholesterol metabolismBillable

Notes for E78.7

Excludes1 (not coded here):

Niemann-Pick disease type C (E75.242)

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

E78 – Disorders of lipoprotein metabolism and other lipidemias

Excludes1 (not coded here):

sphingolipidosis (E75.0-E75.3)

Block E70-E88

Excludes1 (not coded here):

androgen insensitivity syndrome (E34.5-)
congenital adrenal hyperplasia (E25.0)
hemolytic anemias attributable to enzyme disorders (D55.-)
Marfan syndrome (Q87.4-)
5-alpha-reductase deficiency (E29.1)

Excludes2 (not included here):

Ehlers-Danlos syndromes (Q79.6-)

Related codes in E78

E78.0 – Pure hypercholesterolemiaHeader
E78.1 – Pure hyperglyceridemiaBillable
E78.2 – Mixed hyperlipidemiaBillable
E78.3 – HyperchylomicronemiaBillable
E78.4 – Other hyperlipidemiaHeader
E78.5 – Hyperlipidemia, unspecifiedBillable
E78.6 – Lipoprotein deficiencyBillable
E78.8 – Other disorders of lipoprotein metabolismHeader
E78.9 – Disorder of lipoprotein metabolism, unspecifiedBillable

Frequently asked questions

What is ICD-10 code E78.7?

E78.7 is the ICD-10-CM code for disorders of bile acid and cholesterol metabolism, in the block E70-E88 (Metabolic disorders).

Is E78.7 a billable code?

No. E78.7 is a header code with more specific child codes; report one of the billable codes listed above.

What category does E78.7 belong to?

It belongs to category E78 – Disorders of lipoprotein metabolism and other lipidemias.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.