ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 11: Diseases of the digestive systemK72

K72

Non-billable

Hepatic failure, not elsewhere classified

Chapter 11:Diseases of the digestive system

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

Code Description

ICD-10 K72 is a used to indicate a diagnosis of hepatic failure, not elsewhere classified.

Key Diagnostic Point:

K72 refers to hepatic failure not classified elsewhere, which encompasses a spectrum of liver dysfunctions leading to the inability of the liver to perform its normal synthetic and metabolic functions. Clinically, patients may present with jaundice, ascites, hepatic encephalopathy, and coagulopathy. The liver, a vital organ in the digestive system, is responsible for detoxifying harmful substances, producing bile for digestion, and synthesizing proteins essential for blood clotting. Disease progression can vary, with acute hepatic failure occurring rapidly, often due to viral hepatitis, drug toxicity, or ischemia, while chronic hepatic failure may develop over years due to conditions like cirrhosis or chronic hepatitis. Diagnostic considerations include liver function tests, imaging studies, and sometimes liver biopsy to ascertain the underlying cause. Early identification and management are crucial to prevent complications and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 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

Hepatic failure significantly impacts population health, contributing to increased morbidity and mortality rates. It necessitates extensive healthcare utilization, including hospital admissions and potential liver transplants. Quality measures often focus on timely diagnosis and management of liver conditions, which can improve patient outcomes and reduce healthcare costs. Epidemiologically, liver diseases are prevalent in various demographics, emphasizing the need for effective screening and management strategies.

ICD-9 vs ICD-10

Hepatic failure significantly impacts population health, contributing to increased morbidity and mortality rates. It necessitates extensive healthcare utilization, including hospital admissions and potential liver transplants. Quality measures often focus on timely diagnosis and management of liver conditions, which can improve patient outcomes and reduce healthcare costs. Epidemiologically, liver diseases are prevalent in various demographics, emphasizing the need for effective screening and management strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the liver failure and the complexity of care provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include ensuring that all clinical findings, lab results, and treatment plans are clearly documented and aligned with the coding guidelines to minimize audit risks.

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 K72?

K72 covers various forms of hepatic failure, including acute liver failure, chronic liver failure, and liver failure due to unspecified causes. It is important to differentiate it from other codes that specify the etiology of liver failure.

When should K72 be used instead of related codes?

K72 should be used when the liver failure is not classified under other specific codes (e.g., K71 for toxic liver disease or K73 for chronic hepatitis). It is appropriate when the cause of liver failure is unknown or not specified.

What documentation supports K72?

Documentation must include clinical findings, laboratory results indicating liver dysfunction, imaging studies, and any treatments administered. A clear narrative of the patient's history and the progression of liver failure is essential.