ICD-10 Z83.438
Billable / SpecificFamily history of other disorder of lipoprotein metabolism and other lipidemia
About ICD-10-CM Z83.438
ICD-10-CM code Z83.438 represents Family history of other disorder of lipoprotein metabolism and other lipidemia. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z83). The 2026 edition of ICD-10-CM Z83.438 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Z83.438. Per CMS ICD-10-CM Tabular 2026.
- Family history of familial combined hyperlipidemia
Medicare LCD Coverage for Z83.438
Local Coverage Determinations (LCDs) from CMS MACs that list Z83.438 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z83.438.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z83.438 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z83.438
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Z83.438
Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).
ICD-10 Z83.438, Billing FAQ
Is ICD-10 code Z83.438 billable? +
Yes, Z83.438 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to Z83.438? +
ICD-10 Z83.438 includes: Family history of familial combined hyperlipidemia.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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