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ICD-10 Guide
ICD-10 CodesK71.3

K71.3

Billable

Toxic liver disease with chronic persistent hepatitis

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

Code Description

ICD-10 K71.3 is a billable code used to indicate a diagnosis of toxic liver disease with chronic persistent hepatitis.

Key Diagnostic Point:

Toxic liver disease with chronic persistent hepatitis (K71.3) is characterized by liver inflammation resulting from exposure to hepatotoxic substances, such as drugs, alcohol, or industrial chemicals. Clinically, patients may present with symptoms including fatigue, jaundice, abdominal pain, and elevated liver enzymes. The liver, a vital organ in the digestive system, plays a crucial role in metabolizing substances and detoxifying harmful compounds. Chronic persistent hepatitis indicates a prolonged inflammatory response, which can lead to fibrosis and potentially progress to cirrhosis if the toxic exposure continues. Diagnosis typically involves a thorough patient history, physical examination, laboratory tests (including liver function tests), and imaging studies to assess liver structure and function. In some cases, a liver biopsy may be necessary to confirm the diagnosis and rule out other liver diseases. Early identification and management of toxic liver disease are essential to prevent further liver damage and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of exposure history and liver function tests.
  • Treatment complexity: Management may involve cessation of the offending agent and supportive care.
  • Documentation requirements: Detailed documentation of symptoms, history of exposure, and diagnostic tests is essential.
  • Coding specificity: Requires accurate coding to differentiate from other liver diseases.

Audit Risk Factors

  • Common coding errors: Misclassification with acute liver conditions.
  • Documentation gaps: Incomplete patient history or lack of follow-up notes.
  • Billing challenges: Potential denials due to insufficient documentation of chronicity.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Toxic liver disease with chronic persistent hepatitis has significant clinical implications, affecting patient quality of life and increasing healthcare utilization. The condition is often underdiagnosed, leading to potential complications such as cirrhosis and liver failure. Understanding the epidemiology of toxic liver disease is essential for population health management, as it highlights the need for preventive measures against exposure to known hepatotoxins. Quality measures should focus on early detection and management to improve patient outcomes.

ICD-9 vs ICD-10

Toxic liver disease with chronic persistent hepatitis has significant clinical implications, affecting patient quality of life and increasing healthcare utilization. The condition is often underdiagnosed, leading to potential complications such as cirrhosis and liver failure. Understanding the epidemiology of toxic liver disease is essential for population health management, as it highlights the need for preventive measures against exposure to known hepatotoxins. Quality measures should focus on early detection and management to improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the medical necessity of tests and treatments related to liver function. Common denials may arise from insufficient documentation of the chronic nature of the condition or lack of clarity regarding the toxic agent involved. Best practices include thorough documentation of patient history, clear communication of the diagnosis, and regular follow-up notes to support ongoing treatment.

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 K71.3?

K71.3 covers chronic persistent hepatitis resulting from toxic exposure, including drug-induced liver injury and chronic alcohol-related liver disease. It is essential to document the specific toxic agent involved.

When should K71.3 be used instead of related codes?

K71.3 should be used when there is clear evidence of chronic liver inflammation due to toxic exposure, as opposed to acute conditions or other liver diseases that do not involve chronicity.

What documentation supports K71.3?

Documentation should include a detailed history of exposure to hepatotoxic substances, clinical symptoms, laboratory results indicating liver function, and any imaging or biopsy findings that support the diagnosis of chronic persistent hepatitis.