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 = Louise Lemoine | | InitialEditorAssigned = Louise Lemoine | ||
}} | }} | ||
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{{ICD10 category|Gastrointestinal}} | {{ICD10 category|Gastrointestinal}} {{ICD10 category|Liver failure}} | ||
== 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. | ||
**It includes liver failure due to viral infection, autoimmune, etc -- as long as the time course is chronic. | **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. | *Also code the cause of the liver failure, if known. | ||
| Line 22: | Line 22: | ||
**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 | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
*This is one of several different codes for liver failure: | *This is one of several different codes for liver failure: | ||
{{ListICD10Category | categoryName = Liver failure}} | {{ListICD10Category | categoryName = Liver failure}} | ||
{{ListICD10Category | categoryName = cirrhosis}} | |||
{{ListICD10Category | categoryName = Encephalopathy}} | |||
*[[Liver disease without liver failure, alcoholic]] | |||
*[[Liver disease without liver failure, alcoholic]] | |||
*[[Liver disease/hepatitis, chronic NOS]] | |||
*[[Liver enzymes, elevated (liver function tests)]] | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
Code the cause if known, e.g. Hep B, Hep C, other viral hepatitis, immune-mediated liver diseases, or other causes of liver disease | Code the cause if known, e.g. Hep B, Hep C, other viral hepatitis, immune-mediated liver diseases, or other causes of liver disease | ||
Revision as of 12:55, 4 May 2018
| ICD10 Diagnosis | |
| Dx: | Liver failure w/wo hepatic encephalopathy, chronic NOS |
| ICD10 code: | K72.1 |
| Pre-ICD10 counterpart: | Non Fulminant Hepatic Failure |
| 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 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.
- 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.
- 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
Alternate ICD10s to consider coding instead or in addition
- This is one of several different codes for liver failure:
| Liver failure codes: |
| cirrhosis codes: |
- Liver disease without liver failure, alcoholic
- Liver disease without liver failure, alcoholic
- Liver disease/hepatitis, chronic NOS
- Liver enzymes, elevated (liver function tests)
Candidate Combined ICD10 codes
Code the cause if known, e.g. 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
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