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

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

Also known as:

Liver Cirrhosis due to Alcohol with AscitesAlcohol-Induced Cirrhosis with Ascites

Related ICD-10 Code Ranges

Complete code families applicable to Alcoholic Cirrhosis with Ascites

K70-K77Primary Range

Diseases of liver

This range includes codes for liver diseases, with K70.31 specifically for alcoholic cirrhosis with ascites.

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

Essential facts and insights about Alcoholic Cirrhosis with Ascites

The ICD-10 code for alcoholic cirrhosis with ascites is K70.31, used when ascites is linked to alcoholic cirrhosis.

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

Alcoholic cirrhosis of liver with ascites
Billable Code

Decision Criteria

clinical Criteria

  • Presence of ascites confirmed by imaging or paracentesis.

documentation Criteria

  • Explicit mention of alcoholic cirrhosis with ascites in medical records.

Applicable To

  • Alcoholic liver cirrhosis with ascites

Excludes

  • Cirrhosis without ascites (K70.30)

Clinical Validation Requirements

  • AST:ALT ratio >2
  • SAAG ≥1.1 g/dL on paracentesis
  • Imaging showing nodular liver

Code-Specific Risks

  • Incorrectly coding as K70.30 if ascites is present.

Coding Notes

  • Ensure documentation explicitly links ascites to alcoholic cirrhosis.

Ancillary Codes

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

Alcohol dependence, uncomplicated

F10.20
Use when alcohol dependence is documented.

Differential Codes

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

Alcoholic cirrhosis of liver without ascites

K70.30
Use when ascites is absent.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcoholic 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: Incomplete clinical picture., Regulatory: Potential audit issues., Financial: Missed reimbursement opportunities.

Mitigation Strategy

Review patient history for alcohol use., Include F10.20 when dependence is documented.

Impact

Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use K70.31 when ascites is due to alcoholic cirrhosis.

Impact

Failure to document ascites can lead to audit discrepancies.

Mitigation Strategy

Ensure SAAG and imaging findings are included in records.

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 Cirrhosis with Ascites, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcoholic Cirrhosis with Ascites

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

Inpatient Admission for Alcoholic Cirrhosis with Ascites

Specialty: Hepatology

Required Elements

  • Diagnosis of alcoholic cirrhosis with ascites
  • SAAG results
  • Imaging findings

Example Documentation

55M with ESLD secondary to alcohol use disorder. AST:ALT ratio 2.5, platelets 85k/μL. Ultrasound: Nodular liver, moderate ascites. Paracentesis: SAAG 1.4 g/dL.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cirrhosis with fluid.
Good Documentation Example
Alcoholic cirrhosis (K70.31) with moderate ascites confirmed by paracentesis (SAAG 1.3 g/dL).
Explanation
The good example specifies the type of cirrhosis and confirms ascites with diagnostic criteria.

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

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