Disorder of liver, NOS
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| ICD10 Diagnosis | |
| Dx: | Disorder of liver, NOS |
| ICD10 code: | K76.9 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | Mild liver disease |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- This code is mainly for types/causes of liver disease which are not covered by other, more specific codes.
- If present, code a Category:Liver failure code separately.
Includes
- hepatitis nyd (if not part of excluded)
- polycystic liver disease, combine with Digestive system, congenital malformation
- See Liver failure w/wo hepatic encephalopathy, acute or subacute NOS for coding of shock liver.
- 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
- 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
- Liver infarct combine with cause if known, if not known combine with Liver, biliary system, diagnostic imaging, abnormal
Excludes:
- chronic inflammatory liver problem not viral, or toxin/drug, - instead, use Liver disease/hepatitis, chronic NOS.
- see also Hepatitis, autoimmune and Hepatitis, alcoholic
Ischemic gut guideline
There are separate codes for different parts of the ischemic gut:
- The following 3 items refer to ischemia of the intestines, including small bowel (including duodenem), or colon, rectum, anus
- For ischemia of the stomach -- use Disorder of stomach or duodenum, NOS
- For ischemia of the liver -- use Disorder of liver, NOS
- For ischemia of the esophagus --- use Disorder of esophagus, NOS
- Thus, these various codes variously cover the following concepts:
- "ischemic bowel"
- "ischemic gut"
- "mesenteric arterial thrombosis, embolism or thromboembolism"
- "mesenteric vein thrombosis, embolism or thromboembolism"
- "mesenteric arterial atherosclerosis"
- But these codes do NOT include:
- The cause of that ischemia/infarction. As usual, if the cause is known, link the code for the cause to the relevant code as above for the ischemia, e.g: Atherosclerosis of arteries, NOS, Thrombosis or embolism of artery, NOS, Septic Thrombosis or Embolism, NOS, Disorder of artery/arteries, NOS
- GI arterial disorders in the absence of mesenteric ischemia/infarction.
Alternate ICD10s to consider coding instead or in addition
| Hepatitis codes: |
Candidate Combined ICD10 codes
Infections
Infections in ICD10 have combined coding requirements for some of their pathogens. Any that have antibiotic resistances would store those as Combined ICD10 codes as well. If the infection is acquired in the hospital, see Nosocomial infection, NOS. See Lab and culture reports for confirmation and details about tests. See Infections in ICD10 for more general info.
Possible Simultaneous Presence of Multiple Different Types of Infection in a Single Site
- This refers to the situation where there may be simultaneous infection with multiple types of organisms -- e.g. 2 of bacteria, virus, fungus. While a classic example is a proven viral pneumonia (e.g. influenza) with a suspected/possible bacterial pneumonia superimposed, this kind of thing can occur in places other than the lungs, e.g. meningitis.
- The "signature" of this is typically the patient being treated simultaneously with antimicrobial agents for multiple types of organisms. BUT don't confuse this with there being infections at DIFFERENT body sites.
- As per our usual practice, we will consider a diagnosis as present if the clinical team thinks it's present and are treating it, with the exception that the team initially treated for the possible 2nd type of infection but then decided it likely was NOT present and stopped those agents.
- And remember that Infectious organism, unknown is used when the the specific organism is unknown (this could be not knowing the TYPE of organism, or suspecting the type but not having identified the specific organism of that type), while when the organism has been identified but it's not in our bug list, THEN use Bacteria, NOS, Virus, NOS or Fungus or yeast, NOS.
Attribution of infections
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 Inf Potential Infection must have pathogen or alt | CCMDB.accdb | declined |
| Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
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