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 | ||
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{{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 liver failure, '''with or without hepatic encephalopathy''', that is NOT due to ethanol or another drug/toxin, and is ALSO NOT fulminant, acute or subacute. | *This is the code to use for CHRONIC liver 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 | **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. | ||
*Non Fulminant Hepatic failure - refers to liver failure that has been on a steady decline. End of the line due to a chronic underlying know liver disease | |||
{{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 failure}} | ||
{{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 == | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||