ICD-10 Coding for Cirrhosis Secondary to NASH(K75.81, K74.60)
Complete ICD-10-CM coding and documentation guide for Cirrhosis Secondary to NASH. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cirrhosis Secondary to NASH
K70-K77Primary Range
Diseases of liver
This range includes codes for liver diseases, including cirrhosis and NASH.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K75.81 | Non-alcoholic steatohepatitis (NASH) | Use when NASH is confirmed by biopsy and is the primary condition. |
|
| K74.60 | Unspecified cirrhosis of liver | Use when cirrhosis is confirmed and is the primary reason for encounter. |
|
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 cirrhosis secondary to NASH
Essential facts and insights about Cirrhosis Secondary to NASH
Primary ICD-10-CM Codes for cirrhosis secondary to nash
Decision Criteria
clinical Criteria
- Biopsy shows inflammation and steatosis.
Applicable To
- NASH with inflammation
Excludes
- Alcoholic liver disease (K70.-)
Clinical Validation Requirements
- Liver biopsy confirming lobular inflammation, ballooning degeneration, and steatosis
Code-Specific Risks
- Misclassification as NAFLD without inflammation
Coding Notes
- Ensure documentation specifies NASH with inflammation.
K74.60 - Unspecified cirrhosis of liver
Use when cirrhosis is confirmed and is the primary reason for encounter.
Applicable To
- Cirrhosis without specific etiology
Excludes
- Primary biliary cirrhosis (K74.3)
Clinical Validation Requirements
- Imaging or biopsy showing cirrhosis
Coding Notes
Document cirrhosis etiology clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cirrhosis Secondary to NASH to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K75.81.
Impact
Clinical: Inaccurate diagnosis of liver condition., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always include biopsy results in documentation., Verify etiology before coding.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure biopsy confirms inflammation to use K75.81.
Impact
High audit risk if NASH is coded without biopsy confirmation.
Mitigation Strategy
Ensure biopsy results are documented before coding.
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 Cirrhosis Secondary to NASH, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cirrhosis Secondary to NASH
Use these documentation templates to ensure complete and accurate documentation for Cirrhosis Secondary to NASH. These templates include all required elements for proper coding and billing.
NASH with Cirrhosis
Specialty: HepatologyRequired Elements
- Etiology confirmation
- Biopsy results
- Fibrosis stage
- Comorbidities
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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