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ICD-10 Guide
ICD-10 CodesK70.1

K70.1

Non-billable

Alcoholic hepatitis

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K70.1 is a used to indicate a diagnosis of alcoholic hepatitis.

Key Diagnostic Point:

Alcoholic hepatitis is a serious liver condition resulting from excessive alcohol consumption, characterized by inflammation of the liver. Clinically, patients may present with symptoms such as jaundice, abdominal pain, nausea, vomiting, and fever. The anatomy involved primarily includes the liver, which plays a crucial role in metabolism and detoxification. Disease progression can vary; mild cases may resolve with abstinence from alcohol, while severe cases can lead to liver failure, cirrhosis, or even death. Diagnostic considerations include a thorough patient history, physical examination, liver function tests, imaging studies, and sometimes liver biopsy to assess the extent of liver damage. The diagnosis is often supported by elevated liver enzymes (AST and ALT), with a higher AST/ALT ratio typically seen in alcoholic hepatitis. Early recognition and intervention are vital to improve outcomes and prevent complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of liver function and history of alcohol use.
  • Treatment complexity: Management may involve hospitalization, nutritional support, and abstinence from alcohol.
  • Documentation requirements: Detailed clinical documentation is essential to support the diagnosis and treatment plan.
  • Coding specificity: Accurate coding requires differentiation from other liver diseases and conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with other liver diseases or failure to document alcohol use history.
  • Documentation gaps: Incomplete clinical notes regarding the severity and management of the condition.
  • Billing challenges: Potential denials due to lack of supporting documentation for the diagnosis or treatment.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Hepatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Alcoholic hepatitis has significant clinical implications, contributing to increased morbidity and mortality rates among populations with high alcohol consumption. It affects healthcare utilization patterns, leading to higher rates of hospitalization and long-term care needs. Understanding the epidemiology of alcoholic hepatitis is crucial for public health initiatives aimed at reducing alcohol-related harm and improving liver health outcomes.

ICD-9 vs ICD-10

Alcoholic hepatitis has significant clinical implications, contributing to increased morbidity and mortality rates among populations with high alcohol consumption. It affects healthcare utilization patterns, leading to higher rates of hospitalization and long-term care needs. Understanding the epidemiology of alcoholic hepatitis is crucial for public health initiatives aimed at reducing alcohol-related harm and improving liver health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the necessity for hospitalization or outpatient management. Common denials may arise from insufficient documentation of alcohol use history or lack of clinical evidence supporting the diagnosis. Best practices include ensuring that all clinical notes are thorough and that the treatment plan is clearly outlined to justify the medical necessity of services rendered.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K70.1?

K70.1 specifically covers alcoholic hepatitis, which is characterized by liver inflammation due to excessive alcohol intake. It does not include alcoholic fatty liver disease (K70.0) or cirrhosis (K70.3).

When should K70.1 be used instead of related codes?

K70.1 should be used when there is clear evidence of liver inflammation due to alcohol consumption, as indicated by clinical symptoms and laboratory findings, differentiating it from other alcoholic liver diseases.

What documentation supports K70.1?

Documentation should include a detailed history of alcohol consumption, clinical symptoms, laboratory results indicating liver function, and any imaging or biopsy findings that support the diagnosis of alcoholic hepatitis.