Liver failure due to toxin/drug NOS, w/wo hepatic encephalopathy: Difference between revisions
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Revision as of 17:23, 2017 November 21
| ICD10 Diagnosis | |
| Dx: | Liver failure due to toxin/drug NOS, w/wo hepatic encephalopathy |
| ICD10 code: | K71.1 |
| 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 any type of liver failure due to any drug or toxin EXCEPT ethanol: fulminant, acute, subacute, chronic, NOS, with or without hepatic encephalopathy.
- So, if the liver failure is due to an alcohol other than ethanol, use this code.
- 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 is 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.
Alternate ICD10s to consider coding instead or in addition
- There are 5 different codes for liver failure:
- Liver failure w/wo hepatic encephalopathy, alcoholic
- Liver failure w/wo hepatic encephalopathy, due to toxin/drug NOS
- 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
Candidate Combined ICD10 codes
- Code the toxin, if known -- this would include poison mushrooms causing liver failure.
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