Shock liver in ICD10

This page contains an ICD10 Coding Guideline for ICD10 collection. See ICD10 coding guidelines for similar pages.

There is no specific code for shock liver (also known as ischemic hepatitis) in ICD10.
Coding this entity depends on whether or not it is accompanied by liver failure.
When shock liver IS accompanied by liver failure, then code it as the combination of Liver failure w/wo hepatic encephalopathy, acute or subacute NOS PLUS the type of shock present (see list below)
When it is NOT accompanied by liver failure, then code shock liver as the combination of Disorder of liver, NOS PLUS the type of shock present (see list below)

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

Alternate ICD10s to consider coding instead or in addition

Liver failure codes:
Liver failure due to toxin/drug NOS, w/wo hepatic encephalopathy Liver failure w/wo hepatic encephalopathy, acute or subacute NOS Liver failure w/wo hepatic encephalopathy, chronic NOS Liver failure w/wo hepatic encephalopathy, not specified as acute or chronic Liver failure, alcoholic, w/wo hepatic encephalopathy