ICD-10 Coding for Cirrhosis, Unspecified(K74.60)
Complete ICD-10-CM coding and documentation guide for Cirrhosis, Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cirrhosis, Unspecified
K74.0-K74.69Primary Range
Fibrosis and Cirrhosis of Liver
This range includes all codes related to liver fibrosis and cirrhosis, with K74.60 specifically for unspecified cirrhosis.
Key Information: ICD-10 code for unspecified cirrhosis
Essential facts and insights about Cirrhosis, Unspecified
Primary ICD-10-CM Code for cirrhosis unspecified
Decision Criteria
clinical Criteria
- No identifiable cause after excluding alcohol, viral hepatitis, NAFLD
documentation Criteria
- Cirrhosis confirmed by biopsy or imaging with no specific etiology documented
Applicable To
- Liver cirrhosis without specific etiology
Clinical Validation Requirements
- Albumin ≤3.5 g/dL
- Platelet count <150,000
- Imaging showing nodular liver
Code-Specific Risks
- Risk of undercoding if etiology is not explored
- Potential for lower reimbursement
Coding Notes
- Ensure to document the absence of known etiologies to justify the use of K74.60.
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, Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K74.60.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure thorough clinical evaluation., Use queries to clarify etiology.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Ensure thorough documentation and query for specific etiology if suspected.
Impact
High risk of audit if specific etiologies are not excluded.
Mitigation Strategy
Ensure comprehensive documentation of all diagnostic tests and history.
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, Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cirrhosis, Unspecified
Use these documentation templates to ensure complete and accurate documentation for Cirrhosis, Unspecified. These templates include all required elements for proper coding and billing.
Unspecified Cirrhosis with Complications
Specialty: GastroenterologyRequired Elements
- History of present illness
- Physical examination findings
- Laboratory results
- Imaging and biopsy findings
- Complications and management plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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