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ICD-10 Guide
ICD-10 CodesK75.2

K75.2

Billable

Nonspecific reactive hepatitis

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

Code Description

ICD-10 K75.2 is a billable code used to indicate a diagnosis of nonspecific reactive hepatitis.

Key Diagnostic Point:

Nonspecific reactive hepatitis is characterized by liver inflammation that occurs in response to various systemic conditions rather than a specific infectious agent. Clinically, patients may present with nonspecific symptoms such as fatigue, malaise, and abdominal discomfort, often without jaundice. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and bile production. In cases of nonspecific reactive hepatitis, the inflammation may arise from autoimmune disorders, drug reactions, or systemic infections. Disease progression can vary; while some patients may experience resolution of symptoms with the removal of the underlying cause, others may develop chronic liver issues if the inciting factor persists. Diagnostic considerations include liver function tests, imaging studies, and sometimes liver biopsy to rule out other liver diseases. It is essential to differentiate nonspecific reactive hepatitis from viral hepatitis and other liver pathologies to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation to identify underlying causes.
  • Treatment complexity: Management focuses on addressing the underlying condition rather than the hepatitis itself.
  • Documentation requirements: Detailed clinical history and laboratory results are necessary for accurate coding.
  • Coding specificity: While K75.2 is specific, it requires careful differentiation from other hepatitis codes.

Audit Risk Factors

  • Common coding errors: Misclassification with other hepatitis codes.
  • Documentation gaps: Incomplete clinical history or lack of evidence for underlying conditions.
  • 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

Internal Medicine

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Nonspecific reactive hepatitis can significantly impact patient health, leading to increased healthcare utilization due to diagnostic testing and management of underlying conditions. Understanding its epidemiology is crucial, as it may arise in populations with high rates of autoimmune diseases or those exposed to hepatotoxic drugs. Quality measures should focus on timely diagnosis and management to prevent progression to chronic liver disease.

ICD-9 vs ICD-10

Nonspecific reactive hepatitis can significantly impact patient health, leading to increased healthcare utilization due to diagnostic testing and management of underlying conditions. Understanding its epidemiology is crucial, as it may arise in populations with high rates of autoimmune diseases or those exposed to hepatotoxic drugs. Quality measures should focus on timely diagnosis and management to prevent progression to chronic liver disease.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by laboratory and imaging results. Common denials may arise from insufficient documentation linking the hepatitis to a systemic condition. Best practices include thorough documentation of the patient's history, clear identification of the underlying cause, and regular updates to coding practices to reflect any changes in guidelines or payer requirements.

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 K75.2?

K75.2 covers liver inflammation due to various systemic conditions such as autoimmune diseases, drug-induced liver injury, and infections that do not specifically target the liver. It is essential to identify the underlying cause to accurately classify the condition.

When should K75.2 be used instead of related codes?

K75.2 should be used when liver inflammation is present without a specific infectious cause, particularly when the inflammation is secondary to systemic conditions. It is crucial to differentiate it from codes for viral hepatitis or autoimmune hepatitis.

What documentation supports K75.2?

Documentation should include a comprehensive clinical history, results from liver function tests, imaging studies, and any relevant laboratory findings that indicate the absence of specific infectious agents or other liver diseases.