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v1.0.0
ICD-10 Guide
DiagnosesLiver Profile

Liver Profile

ICD-10 Coding for Liver Profile(K74.6, R94.5)

PRIMARY SPECIALTYGastroenterology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Liver Profile?
Essential facts and insights about Liver Profile

Key Clinical Considerations:

  • Elevated liver enzymes (ALT, AST, ALP, GGT)
  • Jaundice, fatigue, abdominal pain
  • Hepatomegaly, ascites, spider angiomata

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history and physical examination findings
  • Laboratory results and imaging studies
  • Assessment of liver function and any comorbidities

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for liver disease coding to avoid miscoding.
  • Common errors include using unspecified codes when more specific codes are available.

Code Exclusions

Important Exclusions

  • Acute liver failure (K72.0)
  • Liver cancer (C22.0)
  • Cirrhosis (K74.0)

Related ICD-10 Codes

Primary Codes
K76.0
Fatty (change of) liver, not elsewhere classified
K70.0
Alcoholic fatty liver
K73.9
Chronic hepatitis, unspecified
Ancillary Codes
R18.0
Differential Codes
K70.3
K70.3
if cirrhosis is due to alcohol use.
K75.9
K75.9
if there is evidence of liver inflammation without a specific diagnosis.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

  • Patients with suspected liver disease or dysfunction
  • Gastroenterology clinics, hospitals, and outpatient settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed history, physical exam, and lab results.

Billing considerations?

Ensure accurate coding to reflect the severity and type of liver disease.