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ICD-10 Guide
ICD-10 CodesK75.89

K75.89

Billable

Other specified inflammatory liver diseases

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

Code Description

ICD-10 K75.89 is a billable code used to indicate a diagnosis of other specified inflammatory liver diseases.

Key Diagnostic Point:

K75.89 refers to other specified inflammatory liver diseases, which encompasses a variety of conditions characterized by inflammation of the liver not classified elsewhere. 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. Inflammatory liver diseases can progress to fibrosis, cirrhosis, or liver failure if not properly managed. Diagnostic considerations include liver function tests, imaging studies (such as ultrasound or MRI), and liver biopsy to determine the underlying cause of inflammation. Conditions that may fall under this code include autoimmune hepatitis, drug-induced liver injury, and certain viral infections that do not fit into more specific categories. Accurate diagnosis is essential for effective treatment and management of these conditions, which may involve corticosteroids, immunosuppressants, or lifestyle modifications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other liver diseases and understanding of various etiologies.
  • Treatment complexity: Management may involve multiple specialists and varied therapeutic approaches.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires careful consideration to ensure appropriate coding based on the specific inflammatory liver disease.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of liver disease.
  • Documentation gaps: Incomplete clinical notes that do not specify the nature of the inflammatory disease.
  • Billing challenges: Potential for denials if the diagnosis is not well-supported by clinical evidence.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K75.89 lies in its association with various inflammatory liver diseases that can lead to serious health complications, including cirrhosis and liver failure. Understanding the epidemiology of these conditions is crucial for population health management, as they can affect a significant portion of the population, particularly in those with risk factors such as alcohol use or autoimmune disorders. Quality measures related to liver health and effective management of inflammatory liver diseases can improve healthcare outcomes and reduce overall healthcare utilization.

ICD-9 vs ICD-10

The clinical significance of K75.89 lies in its association with various inflammatory liver diseases that can lead to serious health complications, including cirrhosis and liver failure. Understanding the epidemiology of these conditions is crucial for population health management, as they can affect a significant portion of the population, particularly in those with risk factors such as alcohol use or autoimmune disorders. Quality measures related to liver health and effective management of inflammatory liver diseases can improve healthcare outcomes and reduce overall healthcare utilization.

Reimbursement & Billing Impact

reimbursement success. Regular audits of coding practices can help identify areas for improvement and reduce the risk of claim denials.

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 K75.89?

K75.89 covers various inflammatory liver diseases not classified elsewhere, including autoimmune hepatitis, certain drug-induced liver injuries, and other atypical inflammatory conditions. Each condition has specific diagnostic criteria that must be met for accurate coding.

When should K75.89 be used instead of related codes?

K75.89 should be used when the inflammatory liver disease does not fit into more specific categories such as autoimmune hepatitis (K75.1) or drug-induced liver disease (K75.2). It is essential to document the specific nature of the inflammation to justify the use of this code.

What documentation supports K75.89?

Documentation should include clinical findings, laboratory results indicating liver inflammation, imaging studies, and any relevant history of drug exposure or autoimmune conditions. Comprehensive notes that detail the patient's symptoms and the rationale for the diagnosis are crucial.