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ICD-10 Guide
ICD-10 CodesK73.9

K73.9

Billable

Chronic hepatitis, unspecified

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

Code Description

ICD-10 K73.9 is a billable code used to indicate a diagnosis of chronic hepatitis, unspecified.

Key Diagnostic Point:

Chronic hepatitis, unspecified (K73.9) refers to a long-term inflammation of the liver that can result from various etiologies, including viral infections, autoimmune diseases, alcohol use, and metabolic disorders. Clinically, patients may present with 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. Chronic hepatitis can lead to progressive liver damage, cirrhosis, and hepatocellular carcinoma if left untreated. Diagnosis typically involves a combination of patient history, physical examination, serological tests for viral hepatitis markers, liver function tests, and imaging studies such as ultrasound or MRI. In some cases, liver biopsy may be necessary to assess the degree of inflammation and fibrosis. The unspecified nature of K73.9 indicates that the specific cause of chronic hepatitis has not been determined, necessitating further investigation and management tailored to the underlying etiology.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Chronic hepatitis can have multiple causes requiring extensive diagnostic workup.
  • Treatment complexity: Management may involve antiviral therapy, lifestyle modifications, and monitoring for complications.
  • Documentation requirements: Accurate documentation of symptoms, diagnostic tests, and treatment plans is essential.
  • Coding specificity: K73.9 is less specific than other codes for chronic hepatitis, which may complicate coding.

Audit Risk Factors

  • Common coding errors: Misuse of unspecified codes when a more specific diagnosis is available.
  • Documentation gaps: Incomplete patient history or lack of detailed diagnostic results.
  • Billing challenges: Potential denials due to insufficient documentation supporting 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 hepatitis has significant clinical implications, affecting millions globally and leading to increased healthcare utilization due to complications such as cirrhosis and liver cancer. Effective management of chronic hepatitis can improve patient outcomes and reduce the burden on healthcare systems. Quality measures related to hepatitis care focus on early diagnosis, appropriate treatment, and regular monitoring, which are essential for improving population health and reducing the incidence of liver-related morbidity and mortality.

ICD-9 vs ICD-10

Chronic hepatitis has significant clinical implications, affecting millions globally and leading to increased healthcare utilization due to complications such as cirrhosis and liver cancer. Effective management of chronic hepatitis can improve patient outcomes and reduce the burden on healthcare systems. Quality measures related to hepatitis care focus on early diagnosis, appropriate treatment, and regular monitoring, which are essential for improving population health and reducing the incidence of liver-related morbidity and mortality.

Reimbursement & Billing Impact

reimbursement rates and reduce audit risks. Regular training on coding updates and documentation best practices can help mitigate these challenges.

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 K73.9?

K73.9 covers chronic hepatitis of unspecified etiology, which may include chronic viral hepatitis, autoimmune hepatitis, and other chronic liver diseases that do not have a defined cause. It is important to differentiate it from other specific chronic hepatitis codes based on the underlying cause.

When should K73.9 be used instead of related codes?

K73.9 should be used when the specific cause of chronic hepatitis is unknown or has not been determined. If the etiology is identified, such as viral hepatitis or autoimmune hepatitis, the corresponding specific code should be utilized.

What documentation supports K73.9?

Documentation for K73.9 should include a thorough patient history, results from liver function tests, imaging studies, and any serological tests performed. It is crucial to document the absence of specific causes to justify the use of the unspecified code.