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2025 ICD-10-CM code K72.10

Chronic hepatic failure without coma.

Accurate coding requires differentiation between K72.10 (chronic hepatic failure without coma) and K72.11 (chronic hepatic failure with coma).Appropriate documentation is crucial to accurately reflect the patient's clinical status.

Medical necessity for the diagnosis of K72.10 is established through documented clinical findings demonstrating chronic and significant liver dysfunction, impacting the patient's overall health and well-being.The severity of symptoms and impairment of liver function must be clearly documented.

The clinical responsibility for a patient with K72.10 involves comprehensive assessment, management of symptoms, and treatment of the underlying cause of liver failure. This includes close monitoring of liver function, fluid balance, electrolyte levels, and nutritional status.Treatment may involve medications, dietary modifications, and potentially liver transplantation.

IMPORTANT:K72.11 (Chronic hepatic failure with coma) should be used if the patient is experiencing hepatic coma.Other codes may be necessary depending on the underlying cause of the liver failure.

In simple words: Chronic liver failure without coma means the liver isn't working well long-term, but the patient is not in a coma or unconscious.

Chronic hepatic failure without coma is a condition characterized by the liver's inability to function properly over an extended period, without the presence of hepatic coma (a state of altered consciousness due to liver failure).This diagnosis encompasses various underlying causes resulting in persistent liver dysfunction, impacting multiple bodily systems.

Example 1: A 55-year-old male with a history of Hepatitis C presents with increasing fatigue, ascites, and jaundice.Liver function tests reveal severe impairment, but he is alert and oriented.Diagnosis: K72.10, A 60-year-old female with cirrhosis secondary to alcohol abuse is admitted for worsening hepatic encephalopathy, but remains conscious.Liver function tests and imaging confirm severe liver damage.Diagnosis: K72.10, A 70-year-old patient with non-alcoholic fatty liver disease (NAFLD) develops progressive liver failure. Although experiencing significant fatigue and edema, the patient remains conscious and oriented.Liver biopsy confirms cirrhosis.Diagnosis: K72.10

Comprehensive medical history including details of the patient's liver disease, medication history, and any relevant social history (e.g., alcohol consumption).Results of liver function tests (LFTs), imaging studies (ultrasound, CT, MRI), and potentially a liver biopsy.Detailed documentation of clinical presentation (symptoms, signs), physical examination findings, and response to treatment.

** The underlying cause of chronic liver failure should be documented separately, if known (e.g., cirrhosis, hepatitis).This code is for the chronic condition, not acute exacerbations which should be coded separately.

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