Peliosis hepatis
ICD-10 K76.4 is a billable code used to indicate a diagnosis of peliosis hepatis.
Peliosis hepatis is a rare vascular condition characterized by the presence of blood-filled cystic spaces within the liver parenchyma. Clinically, patients may present with abdominal pain, hepatomegaly, or signs of liver dysfunction, although many cases are asymptomatic and discovered incidentally during imaging studies. The liver anatomy involved includes the hepatic parenchyma, where the abnormal vascular spaces disrupt normal liver architecture. Disease progression can lead to complications such as liver failure, hemorrhage, or even hepatocellular carcinoma in chronic cases. Diagnostic considerations include imaging techniques like ultrasound, CT, or MRI, which can reveal the characteristic cystic lesions. A liver biopsy may be performed to rule out other hepatic conditions and confirm the diagnosis. It is essential to consider the patient's history, as peliosis hepatis is often associated with conditions such as chronic liver disease, certain infections, or the use of anabolic steroids and other medications.
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
K76.4 specifically covers peliosis hepatis, which may occur in the context of liver disease, infections, or as a side effect of certain medications. It is important to differentiate it from other liver conditions such as hepatic cysts or tumors.
K76.4 should be used when the clinical presentation aligns specifically with peliosis hepatis, characterized by the presence of blood-filled cystic spaces in the liver, rather than other liver pathologies.
Documentation should include imaging studies that demonstrate the characteristic lesions, a detailed clinical history, and any relevant laboratory results that support the diagnosis of peliosis hepatis.
