What is the ICD-10 code for end-stage liver disease?

The ICD-10 code for end-stage liver disease is K72.90 for hepatic failure, unspecified without coma. If cirrhosis is present, use K74.60.

How is end-stage liver disease documented?

Documentation should include etiology, MELD score, and complications such as ascites or variceal bleeding, ensuring comprehensive clinical details.

ICD-10 Coding for End-Stage Liver Disease(K74.60, I85.01, K70.30)

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Comprehensive guide on ICD-10 coding for end-stage liver disease, including documentation requirements, code relationships, and clinical validation.

Also known as:

ESLDLiver FailureHepatic Failure

Related ICD-10 Code Ranges

Complete code families applicable to End-Stage Liver Disease

K00-K95Primary Range

Diseases of the digestive system

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
K74.60	Cirrhosis of liver, unspecified	Use when cirrhosis is confirmed without specifying the cause.	Biopsy confirmed cirrhosis Imaging showing nodular liver
K72.90	Hepatic failure, unspecified without coma	Use when hepatic failure is diagnosed without specifying coma.	MELD score ≥ 20 Bilirubin ≥ 3 mg/dL

Primary ICD-10-CM Codes

Unspecified cirrhosis of liver

K74.60Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Alcoholic cirrhosis of liverK70.30

Hepatic failure with comaK72.91

Documentation & Coding Risks

Avoid these common issues when documenting End-Stage Liver Disease.

Documenting 'liver failure' without specifying etiology

Impact

Clinical: Lack of clarity on treatment approach., Regulatory: Potential for audit issues., Financial: Incorrect DRG assignment.

Mitigation

Always specify if alcohol or viral etiology is present., Use templates to ensure comprehensive documentation.

Coding K74.60 alone for ESLD with variceal bleed

Impact

Reimbursement: Incorrect DRG assignment leading to underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Add I85.01 as secondary code for variceal bleeding.

MELD Score Documentation

Impact

Failure to document MELD scores can lead to audit issues.

Mitigation

Implement mandatory fields for MELD score in EHR templates.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with K74.60.

Primary Code

K74.60

Unspecified cirrhosis of liver

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ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for End-Stage Liver Disease(K74.60, I85.01, K70.30)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for end-stage liver disease?

How is end-stage liver disease documented?

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