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ICD-10 Coding for Liver Cirrhosis(K70.30, K70.31)

Complete ICD-10-CM coding and documentation guide for Liver Cirrhosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hepatic CirrhosisCirrhosis of the Liver

Related ICD-10 Code Ranges

Complete code families applicable to Liver Cirrhosis

K70-K77Primary Range

Diseases of liver

This range includes all liver diseases, with specific codes for cirrhosis and its etiologies.

Esophageal varices

Relevant for complications of cirrhosis such as esophageal varices.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K70.30Alcoholic cirrhosis of liver without ascitesUse when cirrhosis is due to alcohol but without ascites.
  • Documented history of alcohol use
  • Liver biopsy or imaging showing cirrhosis
K70.31Alcoholic cirrhosis of liver with ascitesUse when cirrhosis is due to alcohol and ascites is present.
  • Documented history of alcohol use
  • Imaging showing ascites

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 alcoholic cirrhosis with ascites

Essential facts and insights about Liver Cirrhosis

The ICD-10 code for alcoholic cirrhosis with ascites is K70.31. This code is used when cirrhosis is due to alcohol and ascites is present.

Primary ICD-10-CM Codes for liver cirrhosis

Alcoholic cirrhosis of liver without ascites
Billable Code

Decision Criteria

clinical Criteria

  • Patient has a history of significant alcohol use.

Applicable To

  • Alcoholic liver disease

Excludes

  • Non-alcoholic liver disease

Clinical Validation Requirements

  • Documented history of alcohol use
  • Liver biopsy or imaging showing cirrhosis

Code-Specific Risks

  • Misclassification if ascites is present but not documented.

Coding Notes

  • Ensure alcohol use is documented clearly.

Ancillary Codes

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

Esophageal varices without bleeding

I85.00
Use when varices are present without bleeding.

Esophageal varices with bleeding

I85.11
Use when varices are present with bleeding.

Differential Codes

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

Unspecified cirrhosis of liver

K74.60
Use K74.60 when the etiology of cirrhosis is not specified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Liver Cirrhosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K70.30.

Impact

Clinical: May affect treatment decisions., Regulatory: Could lead to coding audits., Financial: Potential loss of reimbursement.

Mitigation Strategy

Always confirm ascites with imaging., Document findings in the medical record.

Impact

Reimbursement: May lead to reduced reimbursement., Compliance: Increases risk of audit and compliance issues., Data Quality: Affects accuracy of health records.

Mitigation Strategy

Always document and code the specific cause of cirrhosis.

Impact

High audit risk for using unspecified codes when etiology is known.

Mitigation Strategy

Always document and code the specific cause of cirrhosis.

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 Liver Cirrhosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Liver Cirrhosis

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

Alcoholic cirrhosis with ascites

Specialty: Gastroenterology

Required Elements

  • History of alcohol use
  • Imaging results
  • Physical exam findings

Example Documentation

Patient presents with a history of consuming 12 beers daily for 20 years. Imaging shows moderate ascites.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has liver disease.
Good Documentation Example
Patient has alcoholic cirrhosis with ascites confirmed by ultrasound.
Explanation
The good example specifies the etiology and confirms the presence of ascites.

Need help with ICD-10 coding for Liver Cirrhosis? Ask your questions below.

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