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ICD-10 Guide
ICD-10 CodesK71.7

K71.7

Billable

Toxic liver disease with fibrosis and cirrhosis of liver

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

Code Description

ICD-10 K71.7 is a billable code used to indicate a diagnosis of toxic liver disease with fibrosis and cirrhosis of liver.

Key Diagnostic Point:

Toxic liver disease with fibrosis and cirrhosis of the liver is a severe condition resulting from exposure to hepatotoxic substances, leading to liver damage characterized by inflammation, fibrosis, and ultimately cirrhosis. Clinically, patients may present with symptoms such as jaundice, fatigue, abdominal pain, and ascites, which indicate advanced liver disease. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and the synthesis of proteins. As the disease progresses, the liver's ability to function diminishes, leading to complications such as portal hypertension, liver failure, and hepatocellular carcinoma. Diagnostic considerations include a thorough patient history, liver function tests, imaging studies (such as ultrasound or CT scans), and liver biopsy to assess the extent of fibrosis and cirrhosis. Early detection and management are critical to prevent further liver damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation including imaging and possibly biopsy.
  • Treatment complexity: Management may involve pharmacotherapy, lifestyle changes, and monitoring for complications.
  • Documentation requirements: Detailed documentation of liver function tests, imaging results, and clinical findings is essential.
  • Coding specificity: Accurate coding requires differentiation from other liver diseases and conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of the severity of liver disease.
  • Documentation gaps: Incomplete records of patient history and treatment plans.
  • Billing challenges: Denials may occur if documentation does not support the severity of the condition.

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

Toxic liver disease with fibrosis and cirrhosis has significant clinical implications, affecting patient quality of life and increasing healthcare utilization due to complications. It poses a considerable burden on population health, as it can lead to liver failure and necessitate liver transplantation. Understanding the epidemiological trends of this condition can help healthcare providers implement preventive measures and improve patient outcomes through early intervention and management strategies.

ICD-9 vs ICD-10

Toxic liver disease with fibrosis and cirrhosis has significant clinical implications, affecting patient quality of life and increasing healthcare utilization due to complications. It poses a considerable burden on population health, as it can lead to liver failure and necessitate liver transplantation. Understanding the epidemiological trends of this condition can help healthcare providers implement preventive measures and improve patient outcomes through early intervention and management strategies.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that all services rendered are medically necessary and supported by thorough documentation. Common denials may arise from insufficient documentation or coding errors, so it is crucial to maintain accurate records and follow coding best practices to ensure compliance and minimize audit risks.

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 K71.7?

K71.7 encompasses liver damage due to toxic substances, leading to fibrosis and cirrhosis. This includes conditions resulting from alcohol abuse, drug toxicity, and exposure to industrial chemicals.

When should K71.7 be used instead of related codes?

K71.7 should be used when there is clear evidence of fibrosis and cirrhosis due to toxic liver disease, differentiating it from other codes that may represent earlier stages or different etiologies of liver damage.

What documentation supports K71.7?

Documentation should include liver function test results, imaging studies indicating fibrosis or cirrhosis, patient history of toxic exposure, and clinical assessments that confirm the diagnosis.