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ICD-10 Coding for Ascites due to Alcoholic Cirrhosis(K70.31, F10.20)

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

Also known as:

Alcohol-related AscitesCirrhotic Ascites

Related ICD-10 Code Ranges

Complete code families applicable to Ascites due to Alcoholic Cirrhosis

K70-K77Primary Range

Diseases of liver

This range includes codes for liver diseases, including alcoholic cirrhosis with ascites.

Mental and behavioral disorders due to psychoactive substance use

This range includes codes for alcohol dependence, which is relevant for coding alcoholic cirrhosis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K70.31Alcoholic cirrhosis of liver with ascitesUse when ascites is confirmed and linked to alcoholic cirrhosis.
  • SAAG ≥1.1 g/dL
  • Ultrasound showing nodular liver
  • Documented history of alcohol use
F10.20Alcohol dependence, uncomplicatedUse when alcohol dependence is documented.
  • Documented history of alcohol use
  • Clinical assessment confirming dependence

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 ascites due to alcoholic cirrhosis

Essential facts and insights about Ascites due to Alcoholic Cirrhosis

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

Primary ICD-10-CM Codes for ascites due to alcoholic cirrhosis

Alcoholic cirrhosis of liver with ascites
Billable Code

Decision Criteria

clinical Criteria

  • Presence of ascites confirmed by SAAG and imaging.

documentation Criteria

  • Explicit documentation linking ascites to alcoholic cirrhosis.

Applicable To

  • Ascites due to alcoholic cirrhosis

Excludes

  • Alcoholic cirrhosis without ascites (K70.30)

Clinical Validation Requirements

  • SAAG ≥1.1 g/dL
  • Ultrasound showing nodular liver
  • Documented history of alcohol use

Code-Specific Risks

  • Incorrectly coding without confirming ascites via imaging or labs.

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 alongside cirrhosis.

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 not present.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Ascites due to Alcoholic Cirrhosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K70.31.

Impact

Clinical: May lead to incorrect treatment plans., Regulatory: Increases risk of audit failures., Financial: Potential for denied claims.

Mitigation Strategy

Ensure detailed documentation linking symptoms to diagnosis., Use specific ICD-10 codes.

Impact

Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May trigger audits for incorrect coding., Data Quality: Impacts accuracy of clinical data.

Mitigation Strategy

Use K70.31 alone as it includes ascites.

Impact

Failure to sequence K70.31 before F10.20.

Mitigation Strategy

Educate coding staff on proper sequencing rules.

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

Documentation Templates for Ascites due to Alcoholic Cirrhosis

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

Gastroenterology Consultation

Specialty: Gastroenterology

Required Elements

  • Patient history of alcohol use
  • Imaging results confirming ascites
  • SAAG and lab results
  • Assessment linking ascites to cirrhosis

Example Documentation

Patient presents with abdominal distension. Ultrasound confirms cirrhotic liver. SAAG 1.3 g/dL. 15-year history of alcohol use. Diagnosis: Alcoholic cirrhosis with ascites (K70.31), alcohol dependence (F10.20).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cirrhosis with abdominal fluid.
Good Documentation Example
Alcoholic cirrhosis (K70.31) with ascites, SAAG 1.5 g/dL. 15-year ETOH history (F10.20).
Explanation
The good example specifies the cause of ascites and documents alcohol dependence.

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

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