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v1.0.0
ICD-10 Guide
DiagnosesNash Cirrhosis

Nash Cirrhosis

ICD-10 Coding for NASH Cirrhosis(K75.81, K74.6)

PRIMARY SPECIALTYHepatology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Nash Cirrhosis?
Essential facts and insights about NASH Cirrhosis

Key Clinical Considerations:

  • Fatigue, weakness, and weight loss
  • Elevated liver enzymes (ALT, AST), imaging showing steatosis
  • Hepatomegaly, signs of portal hypertension (e.g., ascites, splenomegaly)

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of obesity, diabetes, or hyperlipidemia
  • Use of terms like 'non-alcoholic steatohepatitis' (NASH) and 'cirrhosis'
  • Examples: 'Patient presents with NASH cirrhosis secondary to obesity.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding cirrhosis based on etiology.
  • Common errors include misclassifying cirrhosis as alcoholic when it is NASH.

Code Exclusions

Important Exclusions

  • Alcoholic liver disease, viral hepatitis-related cirrhosis.
  • Alternative codes for other types of liver disease.

Related ICD-10 Codes

Primary Codes
K74.60
Unspecified cirrhosis of liver
K76.0
Fatty (change of) liver, not elsewhere classified
Ancillary Codes
R94.5
R18.8
Differential Codes
K70.30
K74.60

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Hepatology

Specialty Applications

  • Patients with metabolic syndrome, obesity, and diabetes.
  • Outpatient and inpatient hepatology settings.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document liver function tests, imaging results, and patient history.

Billing considerations?

Ensure accurate coding of cirrhosis type and associated conditions for reimbursement.