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ICD-10 Coding for Alcoholic Cirrhosis(K70.30, K70.31)

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

Also known as:

ETOH CirrhosisAlcohol-Induced Liver Cirrhosis

Related ICD-10 Code Ranges

Complete code families applicable to Alcoholic Cirrhosis

K70-K77Primary Range

Diseases of the liver

This range includes all liver diseases, with K70 specifically for alcoholic 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 alcoholic cirrhosis is present without ascites.
  • AST:ALT ratio ≥2
  • Platelets <150k
  • USG/CT showing nodular liver
K70.31Alcoholic cirrhosis of liver with ascitesUse when alcoholic cirrhosis is present with ascites.
  • Paracentesis results showing SAAG >1.1
  • USG-confirmed ascites

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 Alcoholic Cirrhosis

Alcoholic cirrhosis is coded as K70.30 without ascites and K70.31 with ascites. Ensure documentation specifies alcohol as the cause.

Primary ICD-10-CM Codes for alcoholic cirrhosis

Alcoholic cirrhosis of liver without ascites
Billable Code

Decision Criteria

clinical Criteria

  • Absence of ascites on imaging or clinical exam.

Applicable To

  • Alcoholic liver cirrhosis without ascites

Excludes

  • Non-alcoholic cirrhosis (K74.60)

Clinical Validation Requirements

  • AST:ALT ratio ≥2
  • Platelets <150k
  • USG/CT showing nodular liver

Code-Specific Risks

  • Incorrectly coding when ascites is present.

Coding Notes

  • Ensure documentation specifies alcohol as the cause.

Ancillary Codes

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

Harmful use of alcohol

F10.1
Use when there is evidence of harmful alcohol use.

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 due to alcohol.

Documentation & Coding Risks

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

Impact

Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.

Mitigation Strategy

Review imaging and clinical notes for ascites., Ensure documentation reflects findings.

Impact

Reimbursement: Incorrect DRG assignment may reduce reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Query provider to confirm alcohol-related cirrhosis.

Impact

Inadequate documentation of alcohol use can lead to audit issues.

Mitigation Strategy

Ensure thorough documentation of alcohol history and its link to liver disease.

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 expert answers to help guide accurate code selection and documentation.

Documentation Templates for Alcoholic Cirrhosis

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

Gastroenterology Progress Note

Specialty: Gastroenterology

Required Elements

  • History of alcohol use
  • Physical exam findings
  • Lab results
  • Imaging results

Example Documentation

**HPI**: 50 yo male with 20-year history of 10 drinks/day, presents with jaundice and ascites. **Exam**: Abdomen distended, shifting dullness. **Labs**: AST 120, ALT 50. **Imaging**: USG shows nodular liver. **Assessment**: Alcoholic cirrhosis with ascites (K70.31). **Plan**: Paracentesis, alcohol cessation counseling.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has cirrhosis and drinks alcohol.
Good Documentation Example
Alcoholic cirrhosis (K70.31) confirmed by FibroScan stiffness 25 kPa, AST:ALT ratio 2.5:1, and 15-year history of 12 beers/day. Ascites confirmed by USG.
Explanation
The good example provides specific clinical details and links cirrhosis directly to alcohol use.

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

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