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v1.0.0
ICD-10 Guide
DiagnosesSteatohepatitis

Steatohepatitis

ICD-10 Coding for Steatohepatitis(K75.81, K76.0)

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

Diagnosis Overview

What is Steatohepatitis?
Essential facts and insights about Steatohepatitis

Key Clinical Considerations:

  • Fatigue, jaundice, abdominal discomfort
  • Elevated liver enzymes (ALT, AST), imaging showing steatosis
  • Hepatomegaly on physical exam, possible signs of liver dysfunction

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of alcohol use, obesity, diabetes
  • ICD-10 terminology: Nonalcoholic steatohepatitis (NASH), alcoholic steatohepatitis
  • Examples: Documenting liver biopsy results, imaging findings

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for differentiating between alcoholic and nonalcoholic types.
  • Common errors include misclassifying the type of steatohepatitis.

Code Exclusions

Important Exclusions

  • Alcoholic liver disease, viral hepatitis
  • Codes for liver cirrhosis or liver cancer

Related ICD-10 Codes

Primary Codes
K75.81
Nonalcoholic steatohepatitis
K70.3
Alcoholic steatohepatitis
Ancillary Codes
E66.9
E11.9
Differential Codes
K76.0
K76.0
for NAFLD without inflammation.
K75.81
K75.81
when inflammation is present.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

  • Obese patients, individuals with metabolic syndrome
  • Outpatient gastroenterology clinics, inpatient 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 patient history, lab results, and imaging findings.

Billing considerations?

Ensure accurate coding to reflect the severity and type of steatohepatitis.