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ICD-10 Guide
ICD-10 CodesK71.2

K71.2

Billable

Toxic liver disease with acute hepatitis

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

Code Description

ICD-10 K71.2 is a billable code used to indicate a diagnosis of toxic liver disease with acute hepatitis.

Key Diagnostic Point:

Toxic liver disease with acute hepatitis (K71.2) refers to liver injury resulting from exposure to toxic substances, including drugs, alcohol, and industrial chemicals. Clinically, patients may present with symptoms such as jaundice, fatigue, abdominal pain, and elevated liver enzymes. The liver, a vital organ in the digestive system, plays a crucial role in metabolizing substances and detoxifying harmful compounds. Acute hepatitis can progress rapidly, leading to liver failure if the underlying toxicity is not addressed promptly. Diagnostic considerations include a thorough patient history, laboratory tests (e.g., liver function tests), and imaging studies to assess liver morphology. In some cases, a liver biopsy may be necessary to determine the extent of damage. Understanding the etiology of the toxic exposure is essential for effective management and prevention of further liver injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive assessment of exposure history and laboratory evaluations.
  • Treatment complexity: Management may involve discontinuation of the toxic agent, supportive care, and monitoring for complications.
  • Documentation requirements: Detailed documentation of exposure, symptoms, and treatment response is essential.
  • Coding specificity: Requires precise coding to differentiate from other liver diseases.

Audit Risk Factors

  • Common coding errors: Misclassification of acute vs. chronic conditions.
  • Documentation gaps: Incomplete records regarding exposure history and clinical findings.
  • Billing challenges: Potential denials due to insufficient documentation supporting the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: Toxicology

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Toxic liver disease with acute hepatitis has significant clinical implications, affecting patient morbidity and healthcare costs. It is crucial for population health as it can lead to increased hospitalizations and the need for liver transplants in severe cases. Understanding the epidemiology of toxic liver disease helps in developing prevention strategies and improving healthcare utilization patterns.

ICD-9 vs ICD-10

Toxic liver disease with acute hepatitis has significant clinical implications, affecting patient morbidity and healthcare costs. It is crucial for population health as it can lead to increased hospitalizations and the need for liver transplants in severe cases. Understanding the epidemiology of toxic liver disease helps in developing prevention strategies and improving healthcare utilization patterns.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the services provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all relevant information is included in the medical record to support the diagnosis and any associated procedures.

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 K71.2?

K71.2 covers acute liver injury due to toxic substances, including drug-induced liver injury, alcohol-related liver disease, and chemical exposure. It is essential to establish a clear link between the toxic agent and liver damage.

When should K71.2 be used instead of related codes?

K71.2 should be used when there is clear evidence of acute liver injury due to a toxic substance. If the liver disease is chronic or not directly linked to a toxic exposure, other codes such as K71.1 or K73 should be considered.

What documentation supports K71.2?

Documentation should include a detailed patient history of exposure to toxic substances, clinical symptoms, laboratory test results indicating liver function impairment, and any imaging or biopsy findings that support the diagnosis.