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ICD-10 Coding for Fatty Infiltration of the Liver(K76.0, K70.0, K75.8)

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

Also known as:

Fatty LiverHepatic SteatosisNon-Alcoholic Fatty Liver Disease (NAFLD)Alcoholic Fatty Liver

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Related ICD-10 Code Ranges

Complete code families applicable to Fatty Infiltration of the Liver

K70-K77Primary Range

Diseases of liver

This range includes codes for various liver diseases, including fatty liver conditions.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K76.0Fatty (change of) liver, not elsewhere classifiedUse for non-alcoholic fatty liver confirmed by imaging or biopsy.
  • Imaging confirmation of hepatic fat
  • Exclusion of significant alcohol use
K70.0Alcoholic fatty liverUse when alcohol is the confirmed cause of fatty liver.
  • Documented alcohol intake ≥30g/day (men) or ≥20g/day (women)
  • AST:ALT ratio >2
K75.8Other specified inflammatory liver diseasesUse for biopsy-confirmed NASH.
  • Biopsy showing lobular inflammation and ballooning degeneration

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 fatty infiltration of the liver

Essential facts and insights about Fatty Infiltration of the Liver

The ICD-10 code for non-alcoholic fatty liver disease is K76.0, while alcoholic fatty liver is coded as K70.0.

Primary ICD-10-CM Codes for fatty infiltration of the liver

K76.0
Fatty (change of) liver, not elsewhere classified
Billable Code

Decision Criteria

clinical Criteria

  • Imaging shows hepatic fat without alcohol history.

Applicable To

  • Non-alcoholic fatty liver disease (NAFLD)

Excludes

  • Alcoholic fatty liver (K70.0)

Clinical Validation Requirements

  • Imaging confirmation of hepatic fat
  • Exclusion of significant alcohol use

Code-Specific Risks

  • Misclassification if alcohol use is not properly documented

Coding Notes

  • Ensure documentation specifies non-alcoholic etiology.
View Full Code Details

Ancillary Codes

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

Obesity, unspecified

E66.9
Use if BMI is ≥30 or obesity is documented.

Alcohol use disorder, uncomplicated

F10.10
Use to document alcohol use disorder.

Hepatic fibrosis

K74.0
Use if fibrosis is present.

Differential Codes

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

Alcoholic fatty liver

K70.0
Confirmed alcohol use as the primary etiology.

Fatty liver, not elsewhere classified

K76.0
No significant alcohol use.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Fatty Infiltration of the Liver to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K76.0.

Impact

Clinical: Potential misdiagnosis of liver condition., Regulatory: Non-compliance with coding standards., Financial: Loss of reimbursement for NASH treatment.

Mitigation Strategy

Ensure biopsy results are included in the patient's medical record.

Impact

Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Use K70.0 for alcoholic etiology.

Impact

Inadequate documentation of alcohol use can lead to incorrect coding.

Mitigation Strategy

Implement standardized alcohol use questionnaires.

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

Documentation Templates for Fatty Infiltration of the Liver

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

NAFLD with Obesity

Specialty: Gastroenterology

Required Elements

  • BMI documentation
  • Imaging results
  • Alcohol use history

Example Documentation

Patient with BMI 37, HbA1c 7.2%, MRI-PDFF 12% hepatic fat. No alcohol use.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Fatty liver noted on ultrasound.
Good Documentation Example
MRI-PDFF confirms hepatic fat fraction ≥5% with no alcohol history.
Explanation
The good example provides specific imaging results and excludes alcohol use, meeting documentation requirements.

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