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ICD-10 Guide
ICD-10 CodesK71.4

K71.4

Billable

Toxic liver disease with chronic lobular hepatitis

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

Code Description

ICD-10 K71.4 is a billable code used to indicate a diagnosis of toxic liver disease with chronic lobular hepatitis.

Key Diagnostic Point:

Toxic liver disease with chronic lobular hepatitis (K71.4) is a condition characterized by liver inflammation and damage resulting from exposure to toxic substances, such as drugs, alcohol, or environmental toxins. Clinically, patients may present with symptoms including jaundice, fatigue, 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 lobular hepatitis indicates ongoing inflammation and damage to the liver lobules, which can lead to fibrosis and potentially progress to cirrhosis if not managed appropriately. 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 involved is essential for effective management and prevention of further liver injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of liver function and potential toxic exposures.
  • Treatment complexity: Management may involve cessation of the offending agent, supportive care, and monitoring for complications.
  • Documentation requirements: Detailed documentation of symptoms, diagnostic tests, and treatment plans is necessary.
  • Coding specificity: Requires accurate coding to differentiate from other liver diseases.

Audit Risk Factors

  • Common coding errors: Misclassification of acute versus chronic conditions.
  • Documentation gaps: Incomplete patient history regarding toxin exposure.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: 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

K71.4 has significant clinical implications as it can lead to serious liver complications, including cirrhosis and liver failure, impacting patient quality of life and healthcare costs. Understanding the epidemiology of toxic liver diseases can inform public health initiatives aimed at reducing exposure to harmful substances. Effective management of this condition can improve population health outcomes and reduce healthcare utilization related to liver disease.

ICD-9 vs ICD-10

K71.4 has significant clinical implications as it can lead to serious liver complications, including cirrhosis and liver failure, impacting patient quality of life and healthcare costs. Understanding the epidemiology of toxic liver diseases can inform public health initiatives aimed at reducing exposure to harmful substances. Effective management of this condition can improve population health outcomes and reduce healthcare utilization related to liver disease.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for tests and treatments is clearly documented. Common denials may arise from insufficient documentation of the chronic nature of the condition or lack of evidence linking the diagnosis to the treatment provided. Best practices include maintaining thorough records of patient history, diagnostic tests, and treatment plans to support claims.

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 K71.4?

K71.4 covers chronic liver disease resulting from toxic exposure, including drug-induced liver injury and chronic hepatitis due to environmental toxins. It is important to document the specific toxin and the duration of exposure.

When should K71.4 be used instead of related codes?

K71.4 should be used when there is evidence of chronic lobular hepatitis due to toxic exposure, as opposed to acute conditions or other liver diseases. Proper documentation of chronicity and causative agents is essential.

What documentation supports K71.4?

Documentation should include a detailed patient history of toxin exposure, laboratory results indicating liver dysfunction, imaging studies, and any relevant biopsy findings that confirm chronic hepatitis.