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ICD-10 Guide
ICD-10 CodesK73.2

K73.2

Billable

Chronic active hepatitis, not elsewhere classified

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

Code Description

ICD-10 K73.2 is a billable code used to indicate a diagnosis of chronic active hepatitis, not elsewhere classified.

Key Diagnostic Point:

Chronic active hepatitis, not elsewhere classified, refers to a persistent inflammatory condition of the liver characterized by ongoing necrosis and inflammation. Clinically, patients may present with symptoms such as fatigue, jaundice, abdominal discomfort, and elevated liver enzymes. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and bile production. Disease progression can lead to complications such as cirrhosis, liver failure, or hepatocellular carcinoma if left untreated. Diagnostic considerations include serological tests for viral hepatitis, liver function tests, imaging studies, and sometimes liver biopsy to assess the degree of inflammation and fibrosis. It is essential to differentiate K73.2 from other forms of hepatitis, such as autoimmune hepatitis or viral hepatitis, to ensure appropriate management and treatment strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation including serological tests and imaging.
  • Treatment complexity: Management may involve antiviral therapy, lifestyle modifications, and monitoring for complications.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate coding to differentiate from other hepatitis types.

Audit Risk Factors

  • Common coding errors: Misclassification with other hepatitis codes.
  • Documentation gaps: Incomplete clinical notes regarding the severity and management of the condition.
  • Billing challenges: Potential denials if documentation does not clearly 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 active hepatitis significantly impacts population health, contributing to increased healthcare utilization due to complications such as cirrhosis and liver cancer. Early diagnosis and management are crucial for improving patient outcomes and reducing the burden on healthcare systems. Quality measures related to liver health and hepatitis management are essential for monitoring and improving care delivery in affected populations.

ICD-9 vs ICD-10

Chronic active hepatitis significantly impacts population health, contributing to increased healthcare utilization due to complications such as cirrhosis and liver cancer. Early diagnosis and management are crucial for improving patient outcomes and reducing the burden on healthcare systems. Quality measures related to liver health and hepatitis management are essential for monitoring and improving care delivery in affected populations.

Reimbursement & Billing Impact

Reimbursement may vary based on the complexity of the case and the payer's policies. Common denials may arise from insufficient documentation or misclassification of the condition. Coders should ensure that all relevant clinical information is included in the medical record to support the diagnosis and treatment provided. Best practices include regular audits of coding accuracy and thorough training on documentation standards.

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 K73.2?

K73.2 covers chronic active hepatitis that does not fall under specific classifications such as autoimmune or viral hepatitis. It includes cases where the etiology is unknown or not specified.

When should K73.2 be used instead of related codes?

K73.2 should be used when there is evidence of chronic inflammation and necrosis of the liver without a clear etiology. It is distinct from other codes that specify viral or autoimmune causes.

What documentation supports K73.2?

Documentation should include clinical findings, laboratory results indicating liver inflammation, imaging studies, and any treatment plans. A liver biopsy report may also support the diagnosis.