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ICD-10 Guide
ICD-10 CodesK73.0

K73.0

Billable

Chronic persistent hepatitis, not elsewhere classified

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

Code Description

ICD-10 K73.0 is a billable code used to indicate a diagnosis of chronic persistent hepatitis, not elsewhere classified.

Key Diagnostic Point:

Chronic persistent hepatitis, not elsewhere classified, refers to a long-term inflammation of the liver that is not attributed to a specific viral infection or other identifiable causes. Clinically, patients may present with mild to moderate symptoms, including fatigue, malaise, and abdominal discomfort, but many remain asymptomatic. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and the production of bile. Chronic hepatitis can lead to progressive liver damage, fibrosis, and potentially cirrhosis if left untreated. The disease progression varies among individuals, influenced by factors such as alcohol consumption, coexisting liver diseases, and overall health. Diagnostic considerations include liver function tests, imaging studies, and sometimes liver biopsy to assess the degree of inflammation and fibrosis. It is essential to differentiate K73.0 from other forms of hepatitis, such as viral hepatitis (K71) or autoimmune hepatitis (K75), to ensure appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation to rule out other liver diseases.
  • Treatment complexity: Management may involve lifestyle changes, antiviral therapy, or monitoring for complications.
  • Documentation requirements: Detailed clinical history and laboratory results are necessary for accurate coding.
  • Coding specificity: Must ensure correct differentiation from other hepatitis codes.

Audit Risk Factors

  • Common coding errors: Misclassification with other hepatitis codes.
  • Documentation gaps: Incomplete clinical notes regarding the patient's history and symptoms.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

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

Chronic persistent hepatitis has significant clinical implications, as it can lead to severe liver complications, including cirrhosis and liver cancer. The prevalence of chronic liver disease is a growing concern in population health, particularly with rising rates of obesity and viral hepatitis. Quality measures related to liver health and management of chronic hepatitis are critical for improving healthcare outcomes. Understanding the epidemiology of K73.0 can help healthcare providers develop targeted interventions and resource allocation to manage this condition effectively.

ICD-9 vs ICD-10

Chronic persistent hepatitis has significant clinical implications, as it can lead to severe liver complications, including cirrhosis and liver cancer. The prevalence of chronic liver disease is a growing concern in population health, particularly with rising rates of obesity and viral hepatitis. Quality measures related to liver health and management of chronic hepatitis are critical for improving healthcare outcomes. Understanding the epidemiology of K73.0 can help healthcare providers develop targeted interventions and resource allocation to manage this condition effectively.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, and common denials can occur if documentation does not clearly establish the diagnosis. It is essential to follow coding best practices, including using the most specific code available and ensuring that the documentation aligns with the services billed.

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 K73.0?

K73.0 encompasses chronic hepatitis that is not attributed to viral infections, autoimmune disorders, or other specific etiologies. It includes cases of chronic hepatitis with persistent inflammation and liver damage without a clear cause.

When should K73.0 be used instead of related codes?

K73.0 should be used when chronic hepatitis is diagnosed but does not fit into other specific categories such as viral hepatitis (K71) or autoimmune hepatitis (K75). It is crucial to document the absence of other identifiable causes.

What documentation supports K73.0?

Documentation for K73.0 should include a thorough clinical history, liver function tests, imaging studies, and any relevant laboratory results that confirm chronic inflammation of the liver without a specific etiology.