ICD-10 Coding for NASH Cirrhosis(K75.81, K74.6)
Complete ICD-10-CM coding and documentation guide for NASH Cirrhosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to NASH Cirrhosis
K70-K77Primary Range
Diseases of liver
This range includes codes for liver diseases, including NASH 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 |
|---|---|---|---|
| K75.81 | Nonalcoholic steatohepatitis (NASH) | Use when NASH is confirmed by clinical or histological evidence. |
|
| K74.6 | Other and unspecified cirrhosis of liver | Use when cirrhosis is present and linked to NASH. |
|
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: How do you code NASH cirrhosis in ICD-10?
Essential facts and insights about NASH Cirrhosis
Primary ICD-10-CM Codes for nash cirrhosis
Decision Criteria
clinical Criteria
- Histological confirmation of NASH
Applicable To
- Nonalcoholic steatohepatitis
Excludes
- Alcoholic liver disease (K70.-)
Clinical Validation Requirements
- Biopsy showing steatohepatitis
- Histological findings of ballooning and fibrosis
Code-Specific Risks
- Misclassification as alcoholic liver disease
Coding Notes
- Ensure documentation specifies NASH as the underlying cause of cirrhosis.
K74.6 - Other and unspecified cirrhosis of liver
Use when cirrhosis is present and linked to NASH.
Applicable To
- Cirrhosis due to NASH
Excludes
- Alcoholic cirrhosis (K70.30)
Clinical Validation Requirements
- Clinical or imaging evidence of cirrhosis
Coding Notes
Ensure cirrhosis is documented as secondary to NASH.
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 NASH Cirrhosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K75.81.
Impact
Clinical: Inaccurate diagnosis representation., Regulatory: Potential audit issues., Financial: Loss of appropriate reimbursement.
Mitigation Strategy
Ensure thorough documentation of histological findings., Link cirrhosis explicitly to NASH.
Impact
Reimbursement: May result in lower DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Always link cirrhosis to NASH if confirmed.
Impact
Failure to link cirrhosis to NASH can lead to audit findings.
Mitigation Strategy
Ensure documentation explicitly links NASH to 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 NASH Cirrhosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for NASH Cirrhosis
Use these documentation templates to ensure complete and accurate documentation for NASH Cirrhosis. These templates include all required elements for proper coding and billing.
NASH Cirrhosis Diagnosis
Specialty: HepatologyRequired Elements
- Histological findings
- Linkage of cirrhosis to NASH
- Liver function test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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