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ICD-10 Coding for Disorder of Liver(K70.30, K74.60)

Complete ICD-10-CM coding and documentation guide for Disorder of Liver. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Liver DiseaseHepatic Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Disorder of Liver

K70-K77Primary Range

Diseases of liver

This range includes various liver conditions such as alcoholic liver disease, cirrhosis, and non-alcoholic fatty liver disease.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K70.30Alcoholic cirrhosis of liver without ascitesUse when cirrhosis is confirmed to be due to alcohol consumption.
  • Documented history of alcohol use
  • Biopsy confirmation of cirrhosis
  • Imaging showing nodular liver
K74.60Unspecified cirrhosis of liverUse when cirrhosis is confirmed but the cause is not documented.
  • Biopsy or imaging confirming cirrhosis
  • Absence of specific etiology documentation

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for alcoholic cirrhosis

Essential facts and insights about Disorder of Liver

The ICD-10 code for alcoholic cirrhosis is K70.30, requiring documentation of alcohol use.

Primary ICD-10-CM Codes for disorder of liver

Alcoholic cirrhosis of liver without ascites
Billable Code

Decision Criteria

clinical Criteria

  • History of significant alcohol use and biopsy confirmation.

Applicable To

  • Alcoholic liver cirrhosis

Excludes

  • Non-alcoholic cirrhosis (K74.60)

Clinical Validation Requirements

  • Documented history of alcohol use
  • Biopsy confirmation of cirrhosis
  • Imaging showing nodular liver

Code-Specific Risks

  • Ensure alcohol use is documented to avoid unspecified coding.

Coding Notes

  • Ensure to document the etiology of cirrhosis to avoid unspecified codes.

Ancillary Codes

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

Other ascites

R18.8
Use to document ascites as a complication of cirrhosis.

Abnormal liver function tests

R94.5
Use to document abnormal liver function tests associated with 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 the cause of cirrhosis is not specified or known.

Alcoholic cirrhosis of liver

K70.30
Use K70.30 if alcohol use is documented as the cause.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Disorder of Liver to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K70.30.

Impact

Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.

Mitigation Strategy

Thorough patient history taking., Regular audits of documentation.

Impact

Reimbursement: May lead to lower reimbursement due to unspecified coding., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the specificity and quality of clinical data.

Mitigation Strategy

Always document and code the underlying cause of cirrhosis.

Impact

High risk of audits due to unspecified liver disease coding.

Mitigation Strategy

Ensure documentation of etiology and complications.

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 Disorder of Liver, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Disorder of Liver

Use these documentation templates to ensure complete and accurate documentation for Disorder of Liver. These templates include all required elements for proper coding and billing.

Alcoholic Cirrhosis with Complications

Specialty: Gastroenterology

Required Elements

  • History of alcohol use
  • Biopsy results
  • Imaging findings
  • Complications such as ascites or varices

Example Documentation

Patient presents with decompensated alcoholic cirrhosis, confirmed by biopsy, with ascites and portal hypertension.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Liver disease, monitor LFTs.
Good Documentation Example
Decompensated alcoholic cirrhosis (K70.30) with ascites (R18.8); MELD-Na 24.
Explanation
The good example provides specific diagnosis and related complications, supporting accurate coding.

Need help with ICD-10 coding for Disorder of Liver? Ask your questions below.

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