Skip to main content

E78 vs E88.02

E78 (Disorders of lipoprotein metabolism and other lipidemias) compared with E88.02 (Plasminogen deficiency), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because E88.02 lists E78 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.E78 is “Disorders of lipoprotein metabolism and other lipidemias”; E88.02 is “Plasminogen deficiency”. E78 is a non-billable header; E88.02 is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.E88.02 lists E78 under Excludes2: “disorder of lipoprotein metabolism (E78.-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. E78 carries 6 Excludes1 notes and E88.02 carries 9 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.E88.02’s tabular entry: “disorder of lipoprotein metabolism (E78.-)”. The note covers E78.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.E78 is a non-billable header, but E88.02 is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

E88.02
Plasminogen deficiency
↔
E78
Disorders of lipoprotein metabolism and other lipidemias

What we found

Yes, when both are documented.E88.02 carries an Excludes2 note covering E78: “disorder of lipoprotein metabolism (E78.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

E78Disorders of lipoprotein metabolism and other lipidemiasE88.02Plasminogen deficiency
Billing statusNon-billable header

Report instead: E78.00, E78.010, E78.011, E78.019, E78.1

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)
DefinitionDisorders of lipoprotein metabolism and other lipidemias is a non-billable ICD-10-CM category code (E78).Plasminogen deficiency is a billable ICD-10-CM diagnosis code (E88.02).
Includes—
Dysplasminogenemia
Hypoplasminogenemia
Type 1 plasminogen deficiency
Type 2 plasminogen deficiency
Excludes1
sphingolipidosis (E75.0-E75.3)
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)
monoclonal gammopathy (of undetermined significance) (D47.2)
polyclonal hypergammaglobulinemia (D89.0)
Waldenström macroglobulinemia (C88.00)
histiocytosis X (chronic) (C96.6)
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
Ehlers-Danlos syndromes (Q79.6-)
disorder of lipoprotein metabolism (E78.-)
Ehlers-Danlos syndromes (Q79.6-)
Use additional code—
code for associated findings, such as:
hydrocephalus (G91.4)
otitis media (H67.-)
Code also—
, if applicable, ligneous conjunctivitis (H10.51-)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources