ICD-10 Coding for Other Cirrhosis of Liver(K74.69)
Complete ICD-10-CM coding and documentation guide for Other Cirrhosis of Liver. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Other Cirrhosis of Liver
K70-K77Primary Range
Diseases of liver
This range includes all liver diseases, with K74.69 specifically for other cirrhosis not classified elsewhere.
Key Information: ICD-10 code for other cirrhosis of liver
Essential facts and insights about Other Cirrhosis of Liver
Primary ICD-10-CM Code for other cirrhosis of liver
Decision Criteria
clinical Criteria
- Liver biopsy confirms cryptogenic cirrhosis.
coding Criteria
- Exclude alcohol as a cause before using K74.69.
documentation Criteria
- Document specific cirrhosis type and etiology if known.
Applicable To
- Cryptogenic cirrhosis
- Macronodular cirrhosis
- Micronodular cirrhosis
Clinical Validation Requirements
- Liver biopsy confirming cirrhosis type
- Imaging showing nodular liver
- Lab values: elevated INR, low albumin
Code-Specific Risks
- Incorrectly coding alcoholic cirrhosis as K74.69
- Failing to document the specific type of cirrhosis
Coding Notes
- Ensure documentation specifies the type of cirrhosis and excludes other causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Other Cirrhosis of Liver to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K74.69.
Impact
Clinical: Misrepresents the patient's condition., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential for incorrect reimbursement.
Mitigation Strategy
Verify etiology before coding., Consult provider if documentation is unclear.
Impact
Reimbursement: Incorrect sequencing can lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Always sequence K74.69 first when cirrhosis is the underlying cause.
Impact
Risk of incorrect coding due to unspecified cirrhosis type.
Mitigation Strategy
Implement thorough documentation reviews and provider queries.
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 Other Cirrhosis of Liver, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Other Cirrhosis of Liver
Use these documentation templates to ensure complete and accurate documentation for Other Cirrhosis of Liver. These templates include all required elements for proper coding and billing.
Hospital Admission for Cirrhosis
Specialty: GastroenterologyRequired Elements
- Patient history
- Liver biopsy results
- Imaging findings
- Lab values
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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