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ICD-10 Guide
ICD-10 CodesChapter 11: Diseases of the digestive systemK75

K75

Non-billable

Other inflammatory liver diseases

Chapter 11:Diseases of the digestive system

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

Code Description

ICD-10 K75 is a used to indicate a diagnosis of other inflammatory liver diseases.

Key Diagnostic Point:

K75 encompasses a range of other inflammatory liver diseases that are not classified under more specific categories. These conditions may include autoimmune hepatitis, drug-induced liver injury, and other forms of hepatitis not due to viral infections. 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 metabolism, detoxification, and bile production. Disease progression can vary significantly; some patients may experience acute inflammation that resolves with treatment, while others may develop chronic liver disease, leading to cirrhosis or liver failure. Diagnostic considerations include liver function tests, imaging studies, and liver biopsy to determine the underlying cause of inflammation. Accurate diagnosis is essential for appropriate management and treatment, which may involve immunosuppressive therapy, lifestyle modifications, or avoidance of hepatotoxic substances.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differential diagnosis to rule out viral hepatitis and other liver conditions.
  • Treatment complexity: May involve various treatment modalities depending on the underlying cause.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires careful consideration of the specific type of inflammatory liver disease.

Audit Risk Factors

  • Common coding errors: Misclassification of liver disease types.
  • Documentation gaps: Incomplete records regarding the patient's history and treatment.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect coding.

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 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

The clinical significance of K75 lies in its association with various inflammatory liver diseases that can lead to serious health complications, including cirrhosis and liver failure. The population health impact is notable, as liver diseases are prevalent and can significantly affect quality of life and healthcare utilization patterns. Monitoring and managing these conditions are crucial for improving patient outcomes and reducing the burden on healthcare systems.

ICD-9 vs ICD-10

The clinical significance of K75 lies in its association with various inflammatory liver diseases that can lead to serious health complications, including cirrhosis and liver failure. The population health impact is notable, as liver diseases are prevalent and can significantly affect quality of life and healthcare utilization patterns. Monitoring and managing these conditions are crucial for improving patient outcomes and reducing the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of thorough clinical evaluations and potential treatments, which may involve multiple specialties. Common denials may arise from insufficient documentation or failure to provide evidence of medical necessity. Best practices include ensuring that all clinical notes are detailed and that any imaging or lab results are clearly linked to the diagnosis.

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 K75?

K75 covers conditions such as autoimmune hepatitis, drug-induced liver injury, and other unspecified inflammatory liver diseases. Each condition has distinct diagnostic criteria, often requiring serological tests and liver biopsy for confirmation.

When should K75 be used instead of related codes?

K75 should be used when the inflammatory liver disease does not fit into more specific categories like viral hepatitis (K70-K73) or alcoholic liver disease (K70). It is essential to document the specific nature of the inflammation to justify the use of this code.

What documentation supports K75?

Documentation should include clinical findings, laboratory results (such as liver function tests), imaging studies, and any histopathological findings from liver biopsies. A thorough history of the patient's symptoms and potential exposures is also critical.