ICD-10 Coding for Liver Profile(K74.6, R94.5)
Complete ICD-10-CM coding and documentation guide for Liver Profile. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Liver Profile
K70-K77Primary Range
Diseases of liver
This range includes codes for liver diseases such as cirrhosis and hepatitis, which are often evaluated using liver function tests.
Abnormal results of liver function studies
This code is used when liver function tests are abnormal but no specific liver disease diagnosis is confirmed.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K74.6 | Other and unspecified cirrhosis of liver | Use when cirrhosis is confirmed by clinical or imaging evidence. |
|
| R94.5 | Abnormal results of liver function studies | Use when liver function tests are abnormal but no specific liver disease is diagnosed. |
|
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 abnormal liver function tests
Essential facts and insights about Liver Profile
Primary ICD-10-CM Codes for liver profile
Decision Criteria
clinical Criteria
- Confirmed cirrhosis via biopsy or imaging
Applicable To
- Cirrhosis NOS
Excludes
- Alcoholic cirrhosis (K70.3)
Clinical Validation Requirements
- Biopsy-proven cirrhosis
- Imaging showing nodular liver contour
Code-Specific Risks
- Misclassification if cirrhosis is not confirmed
Coding Notes
- Ensure cirrhosis is documented with specific etiology if known.
R94.5 - Abnormal results of liver function studies
Use when liver function tests are abnormal but no specific liver disease is diagnosed.
Excludes
- Confirmed liver disease diagnosis
Clinical Validation Requirements
- Elevated ALT, AST, ALP, or bilirubin levels
Coding Notes
Document specific abnormal test results and any related symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Ascites
R18.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Liver Profile to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K74.6.
Impact
Clinical: May lead to misdiagnosis or delayed treatment, Regulatory: Non-compliance with documentation standards, Financial: Potential for claim denials
Mitigation Strategy
Use specific lab values and clinical findings., Link symptoms to underlying conditions.
Impact
Reimbursement: May lead to claim denials, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate representation of patient condition
Mitigation Strategy
Ensure to document specific abnormal test results and any related symptoms.
Impact
Risk of coding errors due to vague documentation or incorrect code selection.
Mitigation Strategy
Provide detailed documentation and ensure proper code selection.
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 Liver Profile, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Liver Profile
Use these documentation templates to ensure complete and accurate documentation for Liver Profile. These templates include all required elements for proper coding and billing.
Chronic liver disease with complications
Specialty: GastroenterologyRequired Elements
- Primary diagnosis
- Complications
- Etiology
- Test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Liver Profile? Ask your questions below.