ICD-10 Coding for Shock Liver(K72.0, K76.9)
Complete ICD-10-CM coding and documentation guide for Shock Liver. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Shock Liver
K70-K77Primary Range
Diseases of liver
This range includes codes for liver diseases, including shock liver when associated with liver failure or elevated liver enzymes.
Shock, not elsewhere classified
This range includes codes for different types of shock, which are used in conjunction with liver codes to describe shock liver.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K72.0 | Acute and subacute hepatic failure | Use when shock liver is accompanied by liver failure indicators such as coagulopathy or hepatic encephalopathy. |
|
| K76.9 | Liver disease, unspecified | Use when transaminases are elevated without liver failure criteria. |
|
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 shock liver
Essential facts and insights about Shock Liver
Primary ICD-10-CM Codes for shock liver
Decision Criteria
clinical Criteria
- Presence of liver failure indicators
Applicable To
- Liver failure with hepatic encephalopathy
Excludes
- Chronic liver failure
Clinical Validation Requirements
- INR >1.5
- Presence of hepatic encephalopathy
Code-Specific Risks
- Misclassification if liver failure criteria are not met
Coding Notes
- Ensure documentation specifies 'ischemic hepatitis' and includes liver failure criteria.
K76.9 - Liver disease, unspecified
Use when transaminases are elevated without liver failure criteria.
Applicable To
- Disorder of liver, NOS
Excludes
- Specific liver diseases
Clinical Validation Requirements
- AST/ALT >20x ULN without liver failure
Coding Notes
Ensure documentation specifies 'ischemic hepatitis' and excludes liver failure.
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 Shock Liver to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K72.0.
Impact
Clinical: Misrepresentation of the clinical scenario., Regulatory: Potential audit issues., Financial: Incorrect reimbursement.
Mitigation Strategy
Review coding guidelines for shock liver.
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Require INR/encephalopathy documentation.
Impact
Incorrect coding of liver failure without meeting criteria.
Mitigation Strategy
Ensure documentation of INR and encephalopathy.
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 Shock Liver, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Shock Liver
Use these documentation templates to ensure complete and accurate documentation for Shock Liver. These templates include all required elements for proper coding and billing.
Post-op hypovolemic shock
Specialty: SurgeryRequired Elements
- History of hypotension
- Liver enzyme levels
- INR values
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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