2025 ICD-10-CM code K72.01
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the liver - Hepatic failure Diseases of the digestive system (K00-K95) Feed
Acute and subacute hepatic failure with coma.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided.
Medical necessity for the diagnosis is established by the presence of acute or subacute hepatic failure with documented hepatic coma (loss of consciousness secondary to liver failure). This necessitates immediate medical intervention and hospitalization for supportive care.
The clinical responsibility for a patient with K72.01 would involve a multidisciplinary team, including hepatologists, intensivists, and neurologists.Treatment would focus on supportive care, addressing the underlying cause of liver failure, and managing hepatic encephalopathy.
In simple words: This code describes a serious condition where the liver suddenly stops working properly, causing the patient to lose consciousness and fall into a coma.
This ICD-10-CM code signifies acute and subacute hepatic failure complicated by coma.It encompasses conditions where liver function deteriorates rapidly, leading to encephalopathy and loss of consciousness.The code specifically includes cases with coma, differentiating it from codes representing hepatic failure without coma.This code should only be used when hepatic coma is present.
Example 1: A 40-year-old patient presents with acute liver failure secondary to acetaminophen overdose, progressing to hepatic coma requiring intensive care unit (ICU) admission., A 65-year-old patient with cirrhosis develops acute-on-chronic liver failure, precipitating hepatic encephalopathy and coma, necessitating emergency liver transplantation., A 25-year-old patient with fulminant hepatitis B develops hepatic failure with coma, requiring aggressive supportive care and close monitoring.
Detailed history and physical examination, laboratory results including liver function tests (LFTs), blood ammonia levels, coagulation studies, imaging studies (ultrasound, CT scan), and neurological assessment documenting the level of consciousness and neurological signs.
** Accurate coding requires careful documentation of the patient's clinical presentation and the severity of liver failure. The presence of coma is crucial for assigning K72.01.
- Payment Status: Active
- Specialties:Hepatology, Gastroenterology, Internal Medicine, Critical Care Medicine, Neurology
- Place of Service:Inpatient Hospital, ICU