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ICD-10 Guide
ICD-10 CodesK76.3

K76.3

Billable

Infarction of liver

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

Code Description

ICD-10 K76.3 is a billable code used to indicate a diagnosis of infarction of liver.

Key Diagnostic Point:

Infarction of the liver, classified under K76.3 in the ICD-10 coding system, refers to the localized death of liver tissue due to inadequate blood supply, often resulting from vascular occlusion. Clinically, patients may present with abdominal pain, jaundice, and elevated liver enzymes. The liver, a vital organ in the digestive system, plays a crucial role in metabolism, detoxification, and synthesis of proteins. Infarction can occur due to various factors, including thrombosis, embolism, or severe hypotension. Disease progression may lead to complications such as liver failure or abscess formation if not promptly addressed. Diagnostic considerations include imaging studies like ultrasound or CT scans to visualize blood flow and tissue viability, along with laboratory tests to assess liver function. Early recognition and intervention are essential to mitigate long-term damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

The clinical significance of liver infarction is profound, as it can lead to severe complications, including liver failure and systemic effects. Understanding the epidemiology of liver infarction is crucial for population health, as it may indicate underlying vascular diseases. Quality measures related to timely diagnosis and treatment can improve healthcare utilization patterns and patient outcomes, emphasizing the importance of accurate coding and documentation in managing this condition.

ICD-9 vs ICD-10

The clinical significance of liver infarction is profound, as it can lead to severe complications, including liver failure and systemic effects. Understanding the epidemiology of liver infarction is crucial for population health, as it may indicate underlying vascular diseases. Quality measures related to timely diagnosis and treatment can improve healthcare utilization patterns and patient outcomes, emphasizing the importance of accurate coding and documentation in managing this condition.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of imaging studies and potential surgical interventions. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all clinical findings are well-documented and correlate with the billed services to avoid audit risks and ensure compliance with payer guidelines.

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 K76.3?

K76.3 specifically covers liver infarction due to vascular compromise. It does not include other liver diseases such as cirrhosis or hepatitis, which have separate codes. Diagnostic criteria typically involve imaging findings of liver necrosis and clinical symptoms indicative of liver dysfunction.

When should K76.3 be used instead of related codes?

K76.3 should be used when there is clear evidence of liver tissue death due to ischemia. It is distinct from codes for liver diseases caused by toxins or infections, where the underlying etiology differs significantly.

What documentation supports K76.3?

Documentation should include imaging reports indicating infarction, laboratory results showing liver enzyme elevation, and clinical notes detailing symptoms and treatment plans. A comprehensive assessment of the patient's vascular status is also critical.