Chronic hepatic failure with coma
ICD-10 K72.11 is a billable code used to indicate a diagnosis of chronic hepatic failure with coma.
Chronic hepatic failure with coma (K72.11) is a severe condition characterized by the progressive deterioration of liver function over time, leading to hepatic encephalopathy and coma. The liver, a vital organ involved in metabolism, detoxification, and synthesis of proteins, becomes increasingly unable to perform its functions due to chronic liver diseases such as cirrhosis, hepatitis, or fatty liver disease. Patients may present with symptoms including jaundice, ascites, and confusion, which can escalate to coma as the condition progresses. The pathophysiology involves the accumulation of toxins, particularly ammonia, due to impaired hepatic clearance, resulting in neurological impairment. Diagnostic considerations include clinical evaluation, liver function tests, imaging studies, and possibly liver biopsy to assess the underlying cause of liver failure. Early recognition and management are crucial to prevent further deterioration and complications, including multi-organ failure. Treatment typically involves supportive care, addressing the underlying cause, and may include liver transplantation in severe cases.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K72.11 covers chronic hepatic failure characterized by the presence of coma, often resulting from conditions such as cirrhosis, chronic hepatitis, or other chronic liver diseases leading to significant liver dysfunction and hepatic encephalopathy.
K72.11 should be used when a patient presents with chronic hepatic failure accompanied by coma. If the patient has chronic hepatic failure without coma, K72.10 should be selected. The presence of coma indicates a more severe condition requiring different management and documentation.
Documentation for K72.11 should include clinical evidence of chronic liver disease, assessment of liver function tests, mental status evaluations indicating coma, and any imaging or laboratory results that support the diagnosis of chronic hepatic failure.
