Hepatic encephalopathy
ICD-10 K76.82 is a billable code used to indicate a diagnosis of hepatic encephalopathy.
Hepatic encephalopathy (HE) is a neuropsychiatric condition resulting from liver dysfunction, characterized by a spectrum of neurological and psychiatric symptoms. It occurs when the liver fails to adequately remove toxins from the blood, leading to the accumulation of substances such as ammonia, which can affect brain function. Clinically, patients may present with altered mental status, ranging from mild confusion to deep coma, along with motor disturbances, personality changes, and impaired cognitive function. The anatomy involved primarily includes the liver and the central nervous system, particularly the brain. Disease progression can vary; it may be acute, occurring rapidly in cases of acute liver failure, or chronic, developing gradually in patients with cirrhosis. Diagnostic considerations include clinical assessment, laboratory tests to measure ammonia levels, and imaging studies to rule out other causes of altered mental status. The diagnosis of HE is often supported by the presence of liver disease and the exclusion of other potential causes of encephalopathy.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K76.82 specifically covers hepatic encephalopathy due to liver dysfunction, including both acute and chronic forms. It is important to document the underlying liver disease, such as cirrhosis or acute liver failure, as these conditions contribute to the development of HE.
K76.82 should be used when a patient exhibits signs of hepatic encephalopathy specifically linked to liver dysfunction. It is distinct from codes for other types of encephalopathy, such as metabolic or toxic encephalopathy, which have different underlying causes.
Documentation should include a clear diagnosis of liver disease, evidence of altered mental status, and any relevant laboratory findings such as elevated ammonia levels. Additionally, a thorough history and physical examination notes are essential to support the diagnosis.
