ICD-10 Coding for Liver Disorder(K74.69, K70.30)
Complete ICD-10-CM coding and documentation guide for Liver Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Liver Disorder
K70-K77Primary Range
Diseases of the liver
This range includes all liver-related conditions, including alcoholic liver disease and cirrhosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K74.69 | Other cirrhosis of liver | Use when cirrhosis is confirmed and alcohol/viral causes are excluded. |
|
| K70.30 | Alcoholic cirrhosis of liver without ascites | Use when alcoholic cirrhosis is confirmed and no ascites is present. |
|
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
Essential facts and insights about Liver Disorder
Primary ICD-10-CM Codes for liver disorder
Decision Criteria
clinical Criteria
- Cirrhosis confirmed by biopsy without alcohol or viral etiology
Applicable To
- Cirrhosis due to non-alcoholic causes
Excludes
- Alcoholic cirrhosis (K70.30)
Clinical Validation Requirements
- Micro/nodular cirrhosis confirmed by biopsy
- Exclusion of alcohol/viral causes
Code-Specific Risks
- Misclassification if alcohol use is not ruled out
Coding Notes
- Ensure documentation specifies the exclusion of alcohol and viral causes.
K70.30 - Alcoholic cirrhosis of liver without ascites
Use when alcoholic cirrhosis is confirmed and no ascites is present.
Applicable To
- Alcoholic cirrhosis without ascites
Excludes
- Alcoholic cirrhosis with ascites (K70.31)
Clinical Validation Requirements
- Alcoholic cirrhosis confirmed by biopsy
- Absence of ascites on imaging
Coding Notes
Ensure documentation specifies absence of ascites.
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 Liver Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K74.69.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific terms like 'alcoholic cirrhosis', Document supporting lab and imaging results
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Ensure documentation specifies the cause of cirrhosis.
Impact
Failure to document specific etiology of cirrhosis.
Mitigation Strategy
Implement checklist for documentation of liver disorders.
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 Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Liver Disorder
Use these documentation templates to ensure complete and accurate documentation for Liver Disorder. These templates include all required elements for proper coding and billing.
Alcoholic Cirrhosis Documentation
Specialty: GastroenterologyRequired Elements
- History of alcohol use
- Biopsy results
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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