Liver failure w/wo hepatic encephalopathy, chronic NOS: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle = | | OldDxArticle = Non Fulminant Hepatic Failure | ||
| CurrentStatus = | | CurrentStatus = reconciled | ||
| InitialEditorAssigned = | | InitialEditorAssigned = not assigned | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
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{{ICD10 category|Gastrointestinal}}{{ICD10 category|Liver disease}}{{ICD10 category|Liver failure}} | |||
{{ICD10 category|Neuro}}{{ICD10 category|Encephalopathy}} | |||
{{ICD10 category|Gastrointestinal}}{{ICD10 category| | |||
== Additional Info == | == Additional Info == | ||
*This is the code to use for CHRONIC | *This is the code to use for CHRONIC hepatic failure, '''with or without hepatic encephalopathy''', that is '''NOT''' due to ethanol or another drug/toxin, and is '''ALSO NOT''' fulminant, acute or subacute. | ||
*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 | *Chronic hepatic failure - refers to liver failure that has been on a steady decline, occurring 24 weeks after the onset of liver disease, End of the line due to a chronic underlying known liver disease | ||
**It includes liver failure due to viral infection, autoimmune, etc -- as long as the time course is chronic. | |||
*Also code the cause of the liver failure, if known. | |||
*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 | ||
*Liver [[:Category:Cirrhosis|cirrhosis]] is ''NOT'' the same thing as liver failure. They can occur alone, or together. | *Liver [[:Category:Cirrhosis|cirrhosis]] is ''NOT'' the same thing as liver failure. They can occur alone, or together. | ||
{{Template:ICD10 Guideline Altered mental status}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Liver failure}} | |||
{{ListICD10Category | categoryName = Liver | {{ListICD10Category | categoryName = Liver disease}} | ||
{{ListICD10Category | categoryName = Encephalopathy}} | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
Code the cause if known | Code the cause if known: | ||
{{ListICD10Category | categoryName = Liver disease}} | |||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 15:15, 15 January 2026
| ICD10 Diagnosis | |
| Dx: | Liver failure w/wo hepatic encephalopathy, chronic NOS |
| ICD10 code: | K72.1 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| 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 CHRONIC hepatic failure, with or without hepatic encephalopathy, that is NOT due to ethanol or another drug/toxin, and is ALSO NOT fulminant, acute or subacute.
- Chronic hepatic failure - refers to liver failure that has been on a steady decline, occurring 24 weeks after the onset of liver disease, End of the line due to a chronic underlying known liver disease
- It includes liver failure due to viral infection, autoimmune, etc -- as long as the time course is chronic.
- Also code the cause of the liver failure, if known.
- 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.
Altered mental status coding guideline
Coding altered mental status in ICD10 can be complex, see ICD10 Guideline for coding altered mental status for more info.
Alternate ICD10s to consider coding instead or in addition
| Liver failure codes: |
| Liver disease codes: |
| Encephalopathy codes: |
Candidate Combined ICD10 codes
Code the cause if known:
| Liver disease codes: |
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories
|
ICD10 Categories: |