ICD-10 Coding for Non-Alcoholic Fatty Liver Disease(K76.0, K75.8)
Complete ICD-10-CM coding and documentation guide for Non-Alcoholic Fatty Liver Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Non-Alcoholic Fatty Liver Disease
K70-K77Primary Range
Diseases of liver
This range includes codes for liver diseases, including NAFLD and NASH.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K76.0 | Fatty (change of) liver, not elsewhere classified | Use when imaging confirms fatty liver and other liver diseases are excluded. |
|
| K75.8 | Other specified inflammatory liver diseases | Use when biopsy confirms steatohepatitis with inflammation. |
|
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 NAFLD
Essential facts and insights about Non-Alcoholic Fatty Liver Disease
Primary ICD-10-CM Codes for nafld
Decision Criteria
clinical Criteria
- Imaging shows hepatic steatosis with no alcohol use.
documentation Criteria
- Document metabolic risk factors and exclusion of other liver diseases.
Applicable To
- Non-Alcoholic Fatty Liver Disease (NAFLD)
Clinical Validation Requirements
- Ultrasound confirming hepatic steatosis
- Exclusion of alcohol use
- Presence of metabolic syndrome components
Code-Specific Risks
- Misclassification if alcohol use is not excluded
- Underreporting if metabolic factors are not documented
Coding Notes
- Ensure exclusion of other liver diseases is documented.
K75.8 - Other specified inflammatory liver diseases
Use when biopsy confirms steatohepatitis with inflammation.
Applicable To
- Non-Alcoholic Steatohepatitis (NASH)
Excludes
- Alcoholic liver disease (K70)
- Viral hepatitis (B16-B19)
Clinical Validation Requirements
- Liver biopsy showing steatohepatitis
- Exclusion of viral hepatitis
Coding Notes
Biopsy confirmation is essential for accurate coding.
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 Non-Alcoholic Fatty Liver Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K76.0.
Impact
Clinical: May lead to misdiagnosis or incomplete diagnosis., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement.
Mitigation Strategy
Ensure comprehensive documentation of all metabolic factors., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on liver disease prevalence.
Mitigation Strategy
Ensure documentation explicitly rules out other liver diseases.
Impact
Reimbursement: Potential underpayment if NASH is not coded., Compliance: Misrepresentation of patient condition., Data Quality: Inaccurate clinical data for research.
Mitigation Strategy
Use K75.8 only if biopsy confirms steatohepatitis.
Impact
Failure to document exclusion of other liver diseases.
Mitigation Strategy
Use standardized templates to ensure all exclusion criteria are documented.
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 Non-Alcoholic Fatty Liver Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Non-Alcoholic Fatty Liver Disease
Use these documentation templates to ensure complete and accurate documentation for Non-Alcoholic Fatty Liver Disease. These templates include all required elements for proper coding and billing.
NAFLD Workup
Specialty: GastroenterologyRequired Elements
- BMI
- Alcohol use history
- Imaging results
- Biopsy findings
- Exclusion of other liver diseases
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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