ICD-10 Coding for Gamma-Glutamyl Transferase(K70.10, R94.5)
Complete ICD-10-CM coding and documentation guide for Gamma-Glutamyl Transferase. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gamma-Glutamyl Transferase
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K70.10 | Alcoholic hepatitis without ascites | Use when alcoholic hepatitis is confirmed with elevated GGT and alcohol use. |
|
| R94.5 | Abnormal results of liver function studies | Use when liver function tests are abnormal but no specific diagnosis is made. |
|
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 elevated GGT
Essential facts and insights about Gamma-Glutamyl Transferase
Primary ICD-10-CM Codes for gamma glutamyl transferase
Decision Criteria
clinical Criteria
- Presence of elevated GGT and alcohol use
Applicable To
- Alcoholic liver disease
Excludes
- Chronic hepatitis (K73.-)
Clinical Validation Requirements
- GGT >100 U/L
- AST:ALT ratio ≥2:1
- Documented alcohol intake
Code-Specific Risks
- Misclassification if alcohol use is not documented
Coding Notes
- Ensure documentation of alcohol use to support coding.
R94.5 - Abnormal results of liver function studies
Use when liver function tests are abnormal but no specific diagnosis is made.
Applicable To
- Abnormal liver function test
Excludes
- Specific liver diseases (K70-K77)
Clinical Validation Requirements
- GGT > ULN but <100 U/L
- Normal bilirubin/albumin
Coding Notes
Document specific abnormal findings to justify use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal liver function test
R94.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gamma-Glutamyl Transferase to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K70.10.
Impact
Clinical: Misdiagnosis of liver condition, Regulatory: Non-compliance with coding standards, Financial: Denial of claims
Mitigation Strategy
Always ask about alcohol use in liver disease cases, Document findings clearly
Impact
Reimbursement: Higher denial rates for unspecified codes, Compliance: Increased audit risk, Data Quality: Poor data quality and clinical accuracy
Mitigation Strategy
Use specific codes like K70.10 when criteria are met.
Impact
High audit risk when using unspecified codes without supporting documentation.
Mitigation Strategy
Use specific codes and ensure documentation supports the diagnosis.
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 Gamma-Glutamyl Transferase, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gamma-Glutamyl Transferase
Use these documentation templates to ensure complete and accurate documentation for Gamma-Glutamyl Transferase. These templates include all required elements for proper coding and billing.
Hepatology progress note
Specialty: GastroenterologyRequired Elements
- Diagnosis
- GGT levels
- AST:ALT ratio
- Alcohol use history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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