2025 ICD-10-CM code K72.90
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Diseases of liver Diseases of the digestive system Feed
Hepatic failure, unspecified, without coma.
ICD-10 codes do not use modifiers. Modifiers are used with CPT and HCPCS codes to provide additional information about the service performed.
Medical necessity is established by documenting the clinical presentation of hepatic failure, justifying the need for evaluation and treatment.Documentation should support the severity of the liver disease and the need for medical intervention.
The clinical responsibility lies with the physician managing the patient's liver disease. This includes diagnosis, monitoring, and treatment of the underlying cause of the liver failure.This may involve specialists such as gastroenterologists or hepatologists.
In simple words: This code is for liver failure that isn't caused by something specific and doesn't involve the patient going into a coma.It covers various levels of liver problems, but it's crucial to note that this code requires further medical information about the underlying cause of liver failure.
This ICD-10-CM code classifies hepatic failure of unspecified type and etiology, specifically cases that do not involve coma.It encompasses a range of severities, from mild dysfunction to severe end-stage liver disease, excluding those complicated by coma. The underlying cause is not specified, requiring additional documentation to clarify the reason for hepatic failure. This code is used when the clinical picture does not meet the criteria for other, more specific liver failure codes.
Example 1: A 60-year-old male with a history of alcohol abuse presents with fatigue, jaundice, and ascites.Laboratory tests reveal elevated liver enzymes and bilirubin.The patient is alert and oriented.K72.90 is assigned because the exact etiology of the liver failure isn't specified and the patient has not progressed to hepatic coma., A 55-year-old female with a history of Hepatitis C presents for follow-up.She is experiencing fatigue and mild jaundice.Liver function tests show elevated liver enzymes consistent with liver failure; however, she maintains full cognitive function.Code K72.90 is appropriate since there is no coma and cause is not further specified., A 70-year-old patient with cirrhosis of unknown origin presents with increasing ascites and decreased energy level.The patient's mental status is clear and responsive.K72.90 is the correct code to describe the unspecified hepatic failure and absence of coma. Further coding would describe the underlying liver disease.
Detailed medical history, physical examination findings, relevant laboratory results (including liver function tests, ammonia levels), imaging studies (if performed), and any prior treatment or interventions related to the liver failure.
** This code is for unspecified hepatic failure without coma.Additional coding should be utilized to describe the underlying cause and any related complications.Always refer to the most current official ICD-10-CM coding guidelines.
- Revenue Code: Revenue codes will vary depending on the services provided and the payer. Consult your payer's guidelines for appropriate revenue codes.
- RVU: RVUs are not directly associated with ICD-10 codes.RVUs are determined by the procedures and services rendered, which will require CPT codes.
- Global Days: Not applicable to ICD-10 codes. Global periods are relevant to surgical procedures coded with CPT codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are associated with CPT and HCPCS codes.
- Specialties:Gastroenterology, Hepatology, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, other