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ICD-10 Guide
ICD-10 CodesK73.8

K73.8

Billable

Other chronic hepatitis, not elsewhere classified

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

Code Description

ICD-10 K73.8 is a billable code used to indicate a diagnosis of other chronic hepatitis, not elsewhere classified.

Key Diagnostic Point:

K73.8 refers to other chronic hepatitis not elsewhere classified, which encompasses a variety of chronic liver conditions characterized by inflammation of the liver lasting six months or longer. The clinical presentation may include fatigue, jaundice, abdominal discomfort, and elevated liver enzymes. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and bile production. Chronic hepatitis can progress to more severe liver diseases, including cirrhosis and hepatocellular carcinoma, if left untreated. Diagnostic considerations for K73.8 involve a thorough patient history, physical examination, serological tests for viral hepatitis, autoimmune markers, and liver biopsy when necessary. The differentiation from other chronic hepatitis codes, such as K73.0 (chronic viral hepatitis B) or K73.1 (chronic viral hepatitis C), is essential for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation to rule out specific types of hepatitis.
  • Treatment complexity: Management may involve antiviral therapy, lifestyle modifications, and monitoring for complications.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other hepatitis types.

Audit Risk Factors

  • Common coding errors: Misclassification of hepatitis types.
  • Documentation gaps: Insufficient clinical details to support chronic hepatitis diagnosis.
  • Billing challenges: Potential denials due to lack of specificity in documentation.

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

Chronic hepatitis has significant clinical implications, affecting liver function and overall health. It poses a considerable burden on healthcare systems due to the need for ongoing management and monitoring. Population health impact includes increased risk of liver-related morbidity and mortality, necessitating effective screening and intervention strategies. Quality measures may focus on the management of chronic liver disease and its complications, influencing healthcare utilization patterns and resource allocation.

ICD-9 vs ICD-10

Chronic hepatitis has significant clinical implications, affecting liver function and overall health. It poses a considerable burden on healthcare systems due to the need for ongoing management and monitoring. Population health impact includes increased risk of liver-related morbidity and mortality, necessitating effective screening and intervention strategies. Quality measures may focus on the management of chronic liver disease and its complications, influencing healthcare utilization patterns and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations include the need for thorough documentation to justify the diagnosis and any associated procedures. Common denials may arise from insufficient specificity in coding or lack of supporting clinical evidence. Best practices include ensuring that all documentation aligns with the coding guidelines and that the medical necessity for any procedures is clearly established.

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 K73.8?

K73.8 includes chronic hepatitis due to non-viral causes such as autoimmune hepatitis, drug-induced hepatitis, and metabolic liver diseases. It is important to identify the underlying cause to provide appropriate management.

When should K73.8 be used instead of related codes?

K73.8 should be used when the chronic hepatitis does not fit into the defined categories of viral hepatitis or other specified types. It is crucial to document the specific etiology when applicable.

What documentation supports K73.8?

Documentation should include a detailed patient history, results of liver function tests, imaging studies, and any relevant serological tests that indicate chronic liver inflammation without a specific viral cause.