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ICD-10 Guide
ICD-10 CodesK71.10

K71.10

Billable

Toxic liver disease with hepatic necrosis, without coma

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

Code Description

ICD-10 K71.10 is a billable code used to indicate a diagnosis of toxic liver disease with hepatic necrosis, without coma.

Key Diagnostic Point:

Toxic liver disease with hepatic necrosis, without coma, is a serious condition characterized by the destruction of liver cells due to exposure to toxic substances, such as drugs, alcohol, or environmental toxins. Clinically, patients may present with symptoms including jaundice, abdominal pain, nausea, vomiting, and fatigue. The liver, a vital organ in the digestive system, plays a crucial role in metabolizing substances and detoxifying harmful compounds. In cases of hepatic necrosis, the liver's ability to function is severely compromised, leading to potential liver failure if not addressed promptly. Disease progression can vary based on the extent of exposure and individual patient factors, with some patients recovering fully while others may develop chronic liver disease. Diagnostic considerations include a thorough patient history, liver function tests, imaging studies, and possibly a liver biopsy to assess the extent of necrosis. Early recognition and intervention are critical to prevent further liver damage and complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires a comprehensive assessment of liver function and potential toxic exposures.
  • Treatment complexity: Management may involve supportive care, cessation of toxic exposure, and monitoring for liver failure.
  • Documentation requirements: Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential.
  • Coding specificity: Accurate coding requires differentiation from other liver conditions, necessitating careful review of clinical details.

Audit Risk Factors

  • Common coding errors: Misclassification of the severity of liver disease or failure to document the absence of coma.
  • Documentation gaps: Incomplete patient history or lack of clear diagnostic criteria can lead to coding inaccuracies.
  • Billing challenges: Potential for denials if documentation does not clearly support the diagnosis and treatment provided.

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

The clinical significance of K71.10 lies in its potential to lead to severe liver damage and complications if not promptly addressed. Understanding this condition is crucial for improving population health outcomes, as toxic liver disease can result from common substances and behaviors. Quality measures may include monitoring liver function tests and patient education on avoiding toxic exposures. Epidemiologically, the incidence of toxic liver disease is influenced by factors such as substance abuse and environmental exposures, highlighting the need for targeted public health interventions.

ICD-9 vs ICD-10

The clinical significance of K71.10 lies in its potential to lead to severe liver damage and complications if not promptly addressed. Understanding this condition is crucial for improving population health outcomes, as toxic liver disease can result from common substances and behaviors. Quality measures may include monitoring liver function tests and patient education on avoiding toxic exposures. Epidemiologically, the incidence of toxic liver disease is influenced by factors such as substance abuse and environmental exposures, highlighting the need for targeted public health interventions.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the condition and associated treatments. Common denials can occur if documentation does not clearly establish the diagnosis or if there are discrepancies in the coding. Best practices include thorough documentation of the patient's clinical status, treatment plans, and follow-up care to support the billing process.

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 K71.10?

K71.10 covers toxic liver disease resulting in hepatic necrosis due to exposure to harmful substances, excluding cases where the patient is in a coma. This includes drug-induced liver injury and alcohol-related liver damage without severe complications.

When should K71.10 be used instead of related codes?

K71.10 should be used when there is evidence of hepatic necrosis due to toxins without the presence of coma. If coma is present, K71.11 should be utilized. Accurate assessment of the patient's clinical status is crucial for appropriate code selection.

What documentation supports K71.10?

Documentation should include a detailed patient history of toxin exposure, clinical symptoms, results of liver function tests, imaging studies, and any interventions performed. Clear documentation of the absence of coma is also necessary.