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ICD-10 Guide
ICD-10 CodesK76.2

K76.2

Billable

Central hemorrhagic necrosis of liver

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

Code Description

ICD-10 K76.2 is a billable code used to indicate a diagnosis of central hemorrhagic necrosis of liver.

Key Diagnostic Point:

Central hemorrhagic necrosis of the liver is a pathological condition characterized by localized necrosis in the liver tissue, often resulting from severe hepatic ischemia or toxic injury. Clinically, patients may present with symptoms such as jaundice, abdominal pain, and signs of liver dysfunction, including elevated liver enzymes and coagulopathy. The liver's anatomy is crucial in understanding this condition, as it involves the central veins and surrounding hepatocytes. Disease progression can lead to liver failure if not addressed promptly, as the necrotic tissue can compromise liver function and lead to systemic complications. Diagnostic considerations include imaging studies like ultrasound or CT scans to visualize liver architecture and blood flow, alongside laboratory tests to assess liver function and rule out other hepatic disorders. Early diagnosis and intervention are critical to prevent further hepatic damage and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and lab tests for accurate diagnosis.
  • Treatment complexity: Management may involve addressing underlying causes and supportive care.
  • Documentation requirements: Detailed clinical documentation is necessary to support diagnosis.
  • Coding specificity: Requires precise coding to differentiate from other liver conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with other liver diseases.
  • Documentation gaps: Incomplete clinical notes may lead to incorrect coding.
  • Billing challenges: Potential denials if documentation does not 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Central hemorrhagic necrosis of the liver has significant clinical implications, as it can lead to acute liver failure and increased morbidity and mortality rates. Understanding this condition is crucial for population health, as it may be indicative of underlying systemic issues such as severe infections or toxic exposures. Quality measures related to liver health and timely intervention can improve healthcare outcomes and reduce hospitalizations related to liver disease.

ICD-9 vs ICD-10

Central hemorrhagic necrosis of the liver has significant clinical implications, as it can lead to acute liver failure and increased morbidity and mortality rates. Understanding this condition is crucial for population health, as it may be indicative of underlying systemic issues such as severe infections or toxic exposures. Quality measures related to liver health and timely intervention can improve healthcare outcomes and reduce hospitalizations related to liver disease.

Reimbursement & Billing Impact

Reimbursement may depend on the completeness of clinical notes, imaging studies, and lab results. Common denials can occur if the documentation does not clearly support the diagnosis of central hemorrhagic necrosis. It is essential to ensure that all relevant clinical information is included in the medical record to facilitate proper billing and minimize audit risks. Adhering to coding best practices, including using the most specific codes and maintaining clear documentation, 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 K76.2?

K76.2 specifically covers central hemorrhagic necrosis of the liver, which may arise from various etiologies including ischemia, toxic exposure, or severe infections. It is important to differentiate this condition from other forms of liver necrosis and hepatitis.

When should K76.2 be used instead of related codes?

K76.2 should be used when there is clear evidence of central hemorrhagic necrosis specifically, as opposed to other liver conditions such as cirrhosis (K74) or acute hepatitis (K71), which have different clinical implications and management.

What documentation supports K76.2?

Documentation should include clinical findings, imaging results showing necrosis, laboratory tests indicating liver dysfunction, and a clear clinical rationale for the diagnosis of central hemorrhagic necrosis.