Liver failure w/wo hepatic encephalopathy, acute or subacute NOS: Difference between revisions
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== Additional Info == | == Additional Info == | ||
*This is the code to use for fulminant OR acute OR subacute liver failure (with or without hepatic encephalopathy) that is '''NOT due to ethanol or another drug/toxin'''. | *This is the code to use for fulminant OR acute OR subacute liver failure (with or without hepatic encephalopathy) that is '''NOT due to ethanol or another drug/toxin'''. | ||
**It includes liver failure due to: shock liver | **It includes liver failure due to: shock liver, viral infection, autoimmune, etc -- as long as the time course is fulminant or acute or subacute | ||
**Also code the cause of the liver failure, if known (e.g. shock) | **Also code the cause of the liver failure, if known (e.g. shock) | ||
*See the article [[Shock liver in ICD10]] for how to code that entity. | |||
*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: | *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 |
Revision as of 07:05, 2018 April 4
ICD10 Diagnosis | |
Dx: | Liver failure w/wo hepatic encephalopathy, acute or subacute NOS |
ICD10 code: | K72.0 |
Pre-ICD10 counterpart: | Fulminant Hepatic Failure, Non Fulminant Hepatic Failure |
Charlson/ALERT Scale: | Moderate or severe liver disease |
APACHE Como Component: | Liver |
APACHE Acute Component: | none |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- This is the code to use for fulminant OR acute OR subacute liver failure (with or without hepatic encephalopathy) that is NOT due to ethanol or another drug/toxin.
- It includes liver failure due to: shock liver, viral infection, autoimmune, etc -- as long as the time course is fulminant or acute or subacute
- Also code the cause of the liver failure, if known (e.g. shock)
- See the article Shock liver in ICD10 for how to code that entity.
- 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.
- Cirrhosis rarely has time to develop in fulminant or acute or even subacute liver failure.
Alternate ICD10s to consider coding instead or in addition
- This is one of several different codes for liver failure:
Liver failure codes: |
Candidate Combined ICD10 codes
Code the cause if known, e.g. shock liver, Hep B, Hep C, other viral hepatitis, immune-mediated liver diseases, or other causes of liver disease
- Hepatitis B, acute
- Hepatitis C, acute
- Viral hepatitis, acute, NOS
- Hepatitis B, chronic
- Hepatitis C, chronic
- Viral hepatitis, chronic, NOS
- Hepatitis A, acute
- Hepatitis, autoimmune
Related CCI Codes
Related Articles
Show all ICD10 Subcategories