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ICD-10 Coding for Alcoholic Fatty Liver(K70.0)

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

Also known as:

Alcoholic SteatosisAlcoholic Liver Disease

Related ICD-10 Code Ranges

Complete code families applicable to Alcoholic Fatty Liver

K70-K77Primary Range

Diseases of liver

This range includes all liver diseases, with K70 specifically addressing alcoholic liver diseases.

Mental and behavioral disorders due to psychoactive substance use

This range includes codes for alcohol use disorders, which are necessary for coding alcoholic liver diseases.

Key Information: ICD-10 code for alcoholic fatty liver

Essential facts and insights about Alcoholic Fatty Liver

The ICD-10 code for alcoholic fatty liver is K70.0, used with an F10.- code for alcohol use disorder.

Primary ICD-10-CM Code for alcoholic fatty liver

Alcoholic fatty liver
Billable Code

Decision Criteria

clinical Criteria

  • AST:ALT ratio >2 and significant alcohol use

coding Criteria

  • Pair with F10.- for alcohol use disorder

Applicable To

  • Alcoholic steatosis

Excludes

  • Nonalcoholic fatty liver disease (K76.0)

Clinical Validation Requirements

  • AST:ALT ratio >2
  • Daily alcohol intake >40g (men) / >20g (women)
  • Elevated GGT, MCV >95 fL

Code-Specific Risks

  • Omitting F10.- code for alcohol use disorder
  • Misclassifying as NAFLD without alcohol documentation

Coding Notes

  • Ensure alcohol consumption is documented to differentiate from NAFLD.

Ancillary Codes

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

Abnormal liver function tests

R94.5
Use when liver function tests are abnormal but no definitive diagnosis is made.

Differential Codes

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

Nonalcoholic fatty liver disease (NAFLD)

K76.0
NAFLD is characterized by AST:ALT <0.8 and no significant alcohol use.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Alcoholic Fatty Liver to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K70.0.

Impact

Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with coding guidelines., Financial: Potential for claim denials.

Mitigation Strategy

Ensure thorough patient history taking., Use standardized forms for alcohol use documentation.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of health records and statistics.

Mitigation Strategy

Ensure alcohol use is documented and use K70.0 instead.

Impact

Lack of detailed alcohol use documentation can lead to audit issues.

Mitigation Strategy

Implement standardized documentation protocols for alcohol use.

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

Documentation Templates for Alcoholic Fatty Liver

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

Initial Diagnosis of Alcoholic Fatty Liver

Specialty: Gastroenterology

Required Elements

  • Patient history of alcohol use
  • Liver function test results
  • Imaging results showing steatosis

Example Documentation

45M with 15-year history of 8 beers/day. AST 160 U/L, ALT 70 U/L (ratio 2.3), GGT 280 U/L, MCV 98 fL. Ultrasound reveals diffuse hepatic steatosis.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Fatty liver present.
Good Documentation Example
Grade 2 hepatic steatosis on ultrasound with 12-year history of 5 whiskey shots daily.
Explanation
The good example provides specific alcohol history and imaging details.

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

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