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ICD-10 Coding for Alcoholic Liver Cirrhosis with Ascites(K70.31)

Complete ICD-10-CM coding and documentation guide for Alcoholic Liver Cirrhosis with Ascites. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Alcoholic Cirrhosis with AscitesLiver Cirrhosis due to Alcohol with Ascites

Related ICD-10 Code Ranges

Complete code families applicable to Alcoholic Liver Cirrhosis with Ascites

K70-K77Primary Range

Diseases of liver

This range includes codes for liver diseases, specifically alcoholic liver diseases and cirrhosis.

Mental and behavioral disorders due to psychoactive substance use

This range includes codes for alcohol dependence, which is often associated with alcoholic liver cirrhosis.

Key Information: ICD-10 code for alcoholic liver cirrhosis with ascites

Essential facts and insights about Alcoholic Liver Cirrhosis with Ascites

The ICD-10 code for alcoholic liver cirrhosis with ascites is K70.31, requiring documentation of alcohol use and SAAG ≥1.1 g/dL.

Primary ICD-10-CM Code for alcoholic liver cirrhosis with ascites

Alcoholic cirrhosis of liver with ascites
Billable Code

Decision Criteria

clinical Criteria

  • Presence of ascites with SAAG ≥1.1 g/dL

documentation Criteria

  • Explicit mention of alcohol use as cause

Applicable To

  • Alcoholic liver cirrhosis with ascites

Excludes

  • Non-alcoholic liver cirrhosis with ascites

Clinical Validation Requirements

  • SAAG ≥1.1 g/dL
  • AST/ALT ratio >1.5
  • Confirmed alcohol use history

Code-Specific Risks

  • Misclassification with non-alcoholic cirrhosis codes

Coding Notes

  • Ensure documentation explicitly links cirrhosis to alcohol use.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Alcohol dependence, in remission

F10.21
Use to document alcohol dependence associated with cirrhosis.

Other ascites

R18.8
Use to specify ascites when not directly linked to alcoholic cirrhosis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Unspecified cirrhosis of liver

K74.60
Use K74.60 when cirrhosis is not specified as alcoholic.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcoholic Liver Cirrhosis with Ascites to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K70.31.

Impact

Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Always document alcohol use in history., Use templates to ensure completeness.

Impact

Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects accuracy of clinical data.

Mitigation Strategy

Ensure documentation specifies alcohol as the cause and use K70.31.

Impact

Lack of documentation linking cirrhosis to alcohol use.

Mitigation Strategy

Use standardized templates and checklists.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Alcoholic Liver Cirrhosis with Ascites, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcoholic Liver Cirrhosis with Ascites

Use these documentation templates to ensure complete and accurate documentation for Alcoholic Liver Cirrhosis with Ascites. These templates include all required elements for proper coding and billing.

Admission for ascites management

Specialty: Gastroenterology

Required Elements

  • History of alcohol use
  • Physical exam findings
  • Laboratory results
  • Imaging studies

Example Documentation

Patient presents with abdominal distension. History of alcohol use: 10 years, 5 drinks/day. Exam: Ascites with shifting dullness. Labs: SAAG 1.3 g/dL, AST 150 U/L, ALT 80 U/L.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cirrhosis with fluid
Good Documentation Example
Alcoholic cirrhosis (K70.31) with ascites confirmed by SAAG 1.3 g/dL.
Explanation
The good example specifies the cause and provides clinical validation.

Need help with ICD-10 coding for Alcoholic Liver Cirrhosis with Ascites? Ask your questions below.

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