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ICD-10 Guide
ICD-10 CodesK71.0

K71.0

Billable

Toxic liver disease with cholestasis

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

Code Description

ICD-10 K71.0 is a billable code used to indicate a diagnosis of toxic liver disease with cholestasis.

Key Diagnostic Point:

Toxic liver disease with cholestasis refers to liver damage resulting from exposure to toxic substances, leading to impaired bile flow (cholestasis). Clinically, patients may present with symptoms such as jaundice, pruritus, dark urine, and pale stools, indicating bile accumulation in the liver. The liver, a vital organ in the digestive system, plays a crucial role in detoxification, metabolism, and bile production. Toxic agents can include drugs, alcohol, and industrial chemicals, which can cause hepatocyte injury and disrupt normal liver function. Disease progression may lead to acute liver failure if the toxic exposure is severe or prolonged. Diagnostic considerations include a thorough patient history, liver function tests, imaging studies, and possibly liver biopsy to assess the extent of damage. Identifying the specific toxin and the duration of exposure is essential for effective management and prognosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed patient history and laboratory tests to identify the toxin and assess liver function.
  • Treatment complexity: Management may involve cessation of the toxic agent, supportive care, and monitoring for complications.
  • Documentation requirements: Comprehensive documentation of exposure history, clinical findings, and diagnostic tests is necessary.
  • Coding specificity: Requires accurate coding to differentiate from other liver diseases and toxicities.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of liver disease or failing to document the specific toxin.
  • Documentation gaps: Incomplete patient history or lack of supporting lab results.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis of toxic liver disease with cholestasis.

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

Toxic liver disease with cholestasis has significant clinical implications, affecting patient quality of life and healthcare utilization. It can lead to increased hospital admissions and long-term management needs. Understanding the epidemiology of toxic liver diseases is crucial for public health, as it highlights the importance of prevention strategies against environmental and pharmaceutical toxins. Quality measures should focus on early detection and management to reduce complications and improve patient outcomes.

ICD-9 vs ICD-10

Toxic liver disease with cholestasis has significant clinical implications, affecting patient quality of life and healthcare utilization. It can lead to increased hospital admissions and long-term management needs. Understanding the epidemiology of toxic liver diseases is crucial for public health, as it highlights the importance of prevention strategies against environmental and pharmaceutical toxins. Quality measures should focus on early detection and management to reduce complications and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of cholestasis and the toxic nature of the liver disease. Common denials may arise from insufficient documentation or failure to establish a direct link between the toxic exposure and liver dysfunction. Coders should ensure that all relevant tests and procedures are accurately captured to support the diagnosis and facilitate appropriate reimbursement.

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 K71.0?

K71.0 covers liver damage due to toxic substances that result in cholestasis, including drug-induced liver injury, alcohol-related liver disease, and exposure to environmental toxins.

When should K71.0 be used instead of related codes?

K71.0 should be used when cholestasis is present due to toxic liver disease, differentiating it from other liver conditions that do not involve cholestasis.

What documentation supports K71.0?

Documentation should include a detailed history of toxin exposure, clinical symptoms, laboratory test results indicating cholestasis, and any imaging studies performed.