2025 ICD-10-CM code K72.11
(Active) Effective Date: N/A Diseases of the digestive system - Diseases of liver (K70-K77) Diseases of the digestive system (K00-K95) Feed
Chronic hepatic failure with coma.
Medical necessity for services related to K72.11 is established by the presence of chronic hepatic failure with coma, requiring intensive medical management, including supportive care, treatment of complications, and potential liver transplant evaluation.
Clinicians responsible for diagnosing and managing K72.11 include hepatologists, gastroenterologists, critical care specialists, and internal medicine physicians.Their role involves identifying the underlying cause, managing complications such as encephalopathy and coagulopathy, and determining the need for a liver transplant.
- Diseases of the digestive system (K00-K95)
- K72 - Hepatic failure, not elsewhere classifiedIncludes:fulminant hepatitis NEC, with hepatic failureliver (cell) necrosis with hepatic failuremalignant hepatitis NEC, with hepatic failureyellow liver atrophy or dystrophyExcludes1:alcoholic hepatic failure (K70.4)hepatic failure with toxic liver disease (K71.1-)icterus of newborn (P55-P59)postprocedural hepatic failure (K91.82)Excludes2:hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)hepatic failure complicating pregnancy, childbirth and the puerperium (O26.6-)viral hepatitis with hepatic coma (B15-B19)
In simple words: This refers to a prolonged and severe liver malfunction resulting in a state of unconsciousness.
This code represents a state of chronic liver failure accompanied by a coma.It encompasses conditions where the liver has sustained long-term damage and is unable to function properly, ultimately leading to a state of unconsciousness.
Example 1: A patient with a history of cirrhosis presents with altered mental status, jaundice, and ascites.Blood tests reveal elevated liver enzymes and a prolonged prothrombin time.The patient progresses to a comatose state, consistent with chronic hepatic failure., A patient with chronic hepatitis B develops progressive liver dysfunction, eventually leading to hepatic encephalopathy and coma., A patient with long-term alcohol abuse develops end-stage liver disease complicated by hepatic failure and coma.
Documentation for K72.11 should include evidence of chronic liver disease, laboratory findings indicating liver failure (e.g., elevated bilirubin, INR, ammonia), and clinical findings consistent with hepatic encephalopathy and coma.Imaging studies may be used to assess liver morphology and rule out other causes.
- Specialties:Hepatology, gastroenterology, critical care medicine, internal medicine
- Place of Service:Inpatient Hospital