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 systemK76

K76

Non-billable

Other diseases of liver

Chapter 11:Diseases of the digestive system

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

Code Description

ICD-10 K76 is a used to indicate a diagnosis of other diseases of liver.

Key Diagnostic Point:

K76 encompasses a range of liver diseases that do not fall under more specific categories. This includes conditions such as hepatic fibrosis, cirrhosis not elsewhere classified, and liver disease due to various etiologies like toxins, drugs, or metabolic disorders. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and synthesis of proteins. Clinical presentation may vary widely, from asymptomatic cases to severe manifestations such as jaundice, ascites, and hepatic encephalopathy. Disease progression can lead to significant complications, including liver failure and hepatocellular carcinoma. Diagnostic considerations involve a thorough patient history, physical examination, laboratory tests (such as liver function tests), imaging studies (like ultrasound or CT scans), and sometimes liver biopsy to assess the extent of liver damage. Understanding the underlying cause is essential for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of liver function and potential underlying causes.
  • Treatment complexity: Management may involve lifestyle changes, medications, or referrals to specialists.
  • Documentation requirements: Detailed documentation of symptoms, diagnostic tests, and treatment plans is crucial.
  • Coding specificity: While K76 covers a broad range of conditions, accurate coding requires precise documentation to differentiate from other liver codes.

Audit Risk Factors

  • Common coding errors: Misclassification of liver diseases or failure to specify the underlying cause.
  • Documentation gaps: Incomplete records regarding patient history or diagnostic tests.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis or if the condition is not clearly defined.

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

The clinical significance of K76 lies in its association with various liver diseases that can lead to serious health complications. Understanding and accurately coding these conditions is vital for effective patient management and treatment. Population health impact is significant, as liver diseases contribute to morbidity and mortality rates globally. Quality measures related to liver health and healthcare utilization patterns are essential for improving outcomes in affected populations, highlighting the need for ongoing education and awareness in the management of liver diseases.

ICD-9 vs ICD-10

The clinical significance of K76 lies in its association with various liver diseases that can lead to serious health complications. Understanding and accurately coding these conditions is vital for effective patient management and treatment. Population health impact is significant, as liver diseases contribute to morbidity and mortality rates globally. Quality measures related to liver health and healthcare utilization patterns are essential for improving outcomes in affected populations, highlighting the need for ongoing education and awareness in the management of liver diseases.

Reimbursement & Billing Impact

Reimbursement may be affected by the specificity of the documentation and the clarity of the clinical rationale for the diagnosis. Common denials can occur if the documentation does not sufficiently detail the patient's condition or if the coding does not align with the services provided. Best practices include ensuring that all relevant tests and evaluations are documented and that the coding accurately reflects the clinical findings.

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 K76?

K76 includes various liver diseases such as hepatic fibrosis, cirrhosis not specified elsewhere, and liver diseases due to toxins, drugs, or metabolic disorders. It is important to document the specific etiology when applicable.

When should K76 be used instead of related codes?

K76 should be used when the liver disease does not fit into more specific categories like K70 or K74. It is essential to ensure that the documentation supports the diagnosis of 'other diseases of liver' to justify the use of this code.

What documentation supports K76?

Documentation should include a comprehensive patient history, results from liver function tests, imaging studies, and any relevant biopsy findings. Clear notes on the clinical presentation and any treatments provided are also necessary.