ICD-10 Coding for Cholestatic Liver Injury(K71.0)
Complete ICD-10-CM coding and documentation guide for Cholestatic Liver Injury. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cholestatic Liver Injury
Key Information: ICD-10 code for cholestatic liver injury
Essential facts and insights about Cholestatic Liver Injury
Primary ICD-10-CM Code for cholestatic liver injury
Decision Criteria
clinical Criteria
- Presence of R ratio ≤2 and ALP ≥2× ULN
documentation Criteria
- Detailed documentation of drug causality and lab findings
Applicable To
- Drug-induced cholestatic hepatitis
Excludes
- Alcoholic liver disease (K70.-)
Clinical Validation Requirements
- R ratio ≤2 (ALT/ULN ÷ ALP/ULN)
- ALP ≥2× ULN
- Bilirubin >2.5 mg/dL
Code-Specific Risks
- Incorrectly coding without confirming drug causality
- Missing documentation of R ratio and lab values
Coding Notes
- Ensure to document the specific drug and confirm cholestasis with lab values.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Obstruction of bile duct
K83.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cholestatic Liver Injury to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K71.0.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the specific drug causing cholestasis., Use templates to ensure completeness.
Impact
Reimbursement: May lead to denied claims due to incomplete coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of clinical data.
Mitigation Strategy
Sequence T36.0x5A → K71.0
Impact
Failure to include T-codes for drug causality.
Mitigation Strategy
Ensure all relevant T-codes are included in the coding process.
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 Cholestatic Liver Injury, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cholestatic Liver Injury
Use these documentation templates to ensure complete and accurate documentation for Cholestatic Liver Injury. These templates include all required elements for proper coding and billing.
Drug-induced cholestatic hepatitis
Specialty: HepatologyRequired Elements
- Drug name and causality
- R ratio calculation
- Lab values (ALP, bilirubin)
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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