Liver failure, alcoholic, w/wo hepatic encephalopathy: Difference between revisions
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== Additional Info == | == Additional Info == | ||
*This is the code to use for any type of '''alcoholic '''liver failure: fulminant, acute, subacute, chronic, NOS, ''with or without'' hepatic encephalopathy. | *This is the code to use for any type of '''alcoholic '''liver failure: fulminant, acute, subacute, chronic, NOS, ''with or without'' hepatic encephalopathy. | ||
*Remember that liver failure is a distinct manifestation of advanced liver disease that can be caused by many different types of liver disease. In liver failure, there | *Remember that liver failure is a distinct manifestation of advanced liver disease that can be caused by many different types of liver disease. Elevations (even big elevations) alone of transaminases is not liver failure. In liver failure, there must be evidence of one or both of: | ||
**synthetic dysfunction indicated by coagulopathy (with elevated PT, INR), very low albumin and other plasma proteins | **synthetic dysfunction indicated by coagulopathy (with elevated PT, INR), very low albumin and other plasma proteins | ||
**hepatic encephalopathy | **hepatic encephalopathy | ||
Revision as of 22:09, 3 April 2018
| ICD10 Diagnosis | |
| Dx: | Liver failure, alcoholic, w/wo hepatic encephalopathy |
| ICD10 code: | K70.4 |
| Pre-ICD10 counterpart: | Fulminant Hepatic Failure, Non Fulminant Hepatic Failure, Alcoholic Liver Disease |
| Charlson/ALERT Scale: | Moderate or severe liver disease |
| APACHE Como Component: | Liver |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- This is the code to use for any type of alcoholic liver failure: fulminant, acute, subacute, chronic, NOS, with or without hepatic encephalopathy.
- Remember that liver failure is a distinct manifestation of advanced liver disease that can be caused by many different types of liver disease. Elevations (even big elevations) alone of transaminases is not liver failure. In liver failure, there must be evidence of one or both of:
- synthetic dysfunction indicated by coagulopathy (with elevated PT, INR), very low albumin and other plasma proteins
- hepatic encephalopathy
- Liver cirrhosis is NOT the same thing as liver failure. They can occur alone, or together.
Alternate ICD10s to consider coding instead or in addition
- Codes for other aspects of alcoholic liver disease:
- This is one of several different codes for liver failure:
| Liver failure codes: |
Candidate Combined ICD10 codes
Related CCI Codes
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