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ICD-10 Guide
ICD-10 CodesK76.8

K76.8

Non-billable

Other specified diseases of liver

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

Code Description

ICD-10 K76.8 is a used to indicate a diagnosis of other specified diseases of liver.

Key Diagnostic Point:

K76.8 refers to 'Other specified diseases of liver,' which encompasses a variety of hepatic conditions that do not fall under more specific categories. Clinically, patients may present with symptoms such as jaundice, abdominal pain, fatigue, and ascites, indicating liver dysfunction. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and synthesis of proteins. Diseases classified under K76.8 may include conditions like hepatic fibrosis, non-alcoholic fatty liver disease (NAFLD), and autoimmune hepatitis, among others. Disease progression can vary widely; some conditions may remain asymptomatic for years, while others can lead to cirrhosis or liver failure if left untreated. Diagnostic considerations include liver function tests, imaging studies (such as ultrasound or MRI), and liver biopsy when necessary to ascertain the underlying pathology. Accurate diagnosis is essential for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Varies based on the underlying condition and may require multiple tests.
  • Treatment complexity: Treatment plans can be straightforward or involve complex management strategies depending on the specific liver disease.
  • Documentation requirements: Requires detailed clinical documentation to support the diagnosis and treatment.
  • Coding specificity: While K76.8 is specific, it may require additional codes to capture the full clinical picture.

Audit Risk Factors

  • Common coding errors: Misclassification of liver diseases or failure to specify the underlying condition.
  • Documentation gaps: Incomplete clinical notes that do not support the diagnosis.
  • Billing challenges: Potential for denials if documentation does not clearly justify the use of K76.8.

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

The clinical significance of K76.8 lies in its association with various liver diseases that can lead to serious health complications, including liver failure and increased mortality. Understanding and accurately coding these conditions can improve population health outcomes by facilitating appropriate treatment and management strategies. Quality measures related to liver health can be enhanced through accurate coding, leading to better healthcare utilization patterns and improved epidemiological tracking of liver diseases.

ICD-9 vs ICD-10

The clinical significance of K76.8 lies in its association with various liver diseases that can lead to serious health complications, including liver failure and increased mortality. Understanding and accurately coding these conditions can improve population health outcomes by facilitating appropriate treatment and management strategies. Quality measures related to liver health can be enhanced through accurate coding, leading to better healthcare utilization patterns and improved epidemiological tracking of liver diseases.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for tests and procedures is clearly documented. Common denials may arise from insufficient documentation or failure to provide clear clinical rationale for the use of K76.8. Coders should ensure that all relevant clinical information is included in the medical record to support the diagnosis and any associated procedures, following best practices for coding and billing.

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 K76.8?

K76.8 covers a range of liver diseases not specified elsewhere, including but not limited to hepatic fibrosis, autoimmune hepatitis, and certain forms of liver damage due to metabolic disorders. Each condition has its own diagnostic criteria that must be met for accurate coding.

When should K76.8 be used instead of related codes?

K76.8 should be used when the liver disease does not fit into more specific categories. For instance, if a patient has liver disease due to an unspecified cause or a rare condition not listed in other codes, K76.8 is appropriate.

What documentation supports K76.8?

Documentation should include a thorough clinical history, results from liver function tests, imaging studies, and any biopsy results if performed. Clear notes on the patient's symptoms and the rationale for the diagnosis are essential.