Liver failure w/wo hepatic encephalopathy, chronic NOS
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|Dx:||Liver failure w/wo hepatic encephalopathy, chronic NOS|
|Pre-ICD10 counterpart:||Non Fulminant Hepatic Failure|
|Charlson/ALERT Scale:||Moderate or severe liver disease|
|APACHE Como Component:||Liver|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
- 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
Altered mental status
Coding altered mental status in ICD10 can be complex, see ICD10 Guideline for coding altered mental status for more info.
Alternate ICD10s to consider coding instead or in addition
|Liver failure codes:|
Candidate Combined ICD10 codes
Code the cause if known:
Related CCI Codes
Data Integrity Checks (SMW)