ICD-10 Coding for Liver Panel(R94.5, K76.0)
Complete ICD-10-CM coding and documentation guide for Liver Panel. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Liver Panel
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R94.5 | Abnormal results of liver function studies | Use when liver function tests are abnormal without a specific diagnosis. |
|
| K76.0 | Fatty (change of) liver, not elsewhere classified | Use when imaging confirms fatty liver and liver enzymes are elevated. |
|
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 liver panel
Essential facts and insights about Liver Panel
Primary ICD-10-CM Codes for liver panel
Decision Criteria
clinical Criteria
- Abnormal liver function tests without a specific diagnosis.
Applicable To
- Elevated liver enzymes
Excludes
- Specific liver diseases (K70-K77)
Clinical Validation Requirements
- Documented abnormal ALT, AST, ALP, or bilirubin levels.
Code-Specific Risks
- May lead to under-coding if specific liver disease is present.
Coding Notes
- Ensure specific liver conditions are ruled out before using R94.5.
K76.0 - Fatty (change of) liver, not elsewhere classified
Use when imaging confirms fatty liver and liver enzymes are elevated.
Applicable To
- Nonalcoholic fatty liver disease (NAFLD)
Excludes
- Alcoholic liver disease (K70.-)
Clinical Validation Requirements
- Imaging evidence of hepatic steatosis.
- Elevated ALT levels.
Coding Notes
Document BMI and lifestyle factors to support NAFLD diagnosis.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Liver Panel to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R94.5.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure imaging reports are included in the patient's record.
Impact
Reimbursement: May result in lower reimbursement due to non-specific coding., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use specific codes from K70-K77 range for confirmed liver conditions.
Impact
Failure to document all components of the liver panel can lead to audit issues.
Mitigation Strategy
Ensure complete documentation of all test results included in the liver panel.
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 Panel, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Liver Panel
Use these documentation templates to ensure complete and accurate documentation for Liver Panel. These templates include all required elements for proper coding and billing.
Suspected liver disease
Specialty: GastroenterologyRequired Elements
- Patient history
- Physical examination findings
- Laboratory results
- Imaging studies
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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