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2025 ICD-10-CM code K72.00

Acute and subacute hepatic failure without coma.

Code assignment should reflect the severity and clinical presentation of hepatic failure.Precise documentation is crucial to ensure proper code selection and reimbursement.

Medical necessity is established by the presence of clinical findings indicating acute or subacute liver failure.This includes significant derangement of liver function tests, symptoms of liver failure (e.g., jaundice, ascites, encephalopathy), and the need for medical intervention.

The clinical responsibility involves diagnosing and managing acute or subacute liver failure, monitoring liver function, managing symptoms, and potentially referring the patient to specialized care.

IMPORTANT:Consider K72.01 for acute and subacute hepatic failure with coma; K72.10 and K72.11 for chronic hepatic failure without and with coma respectively; K72.9 for unspecified hepatic failure.Differential diagnoses should exclude conditions like alcoholic hepatic failure (K70.4), toxic liver disease (K71.1-), and viral hepatitis (B15-B19).

In simple words: This code describes a serious condition where the liver isn't working properly, and it's happening quickly or over a short period. The patient is not in a coma.

This code classifies acute and subacute hepatic failure without coma.It encompasses conditions where the liver's function is severely impaired, leading to a buildup of toxins in the body, but the patient is not experiencing a coma.The onset is relatively rapid (acute) or somewhat slower (subacute), and the cause is not specified elsewhere.

Example 1: A 45-year-old patient presents with jaundice, abdominal pain, and altered mental status (but not in a coma). Labs show elevated liver enzymes and bilirubin.The patient's history is unremarkable for alcohol abuse or known liver disease. K72.00 is appropriate., A 60-year-old patient with a history of Hepatitis C experiences a rapid deterioration in liver function, manifesting as ascites and encephalopathy, but remains conscious.K72.00 would be used if the coma threshold is not met., A 28-year-old patient is admitted after an overdose of acetaminophen, resulting in elevated liver enzymes but no coma. The patient is exhibiting signs of liver failure. K72.00 could be considered as an initial code.

Detailed history, physical examination findings, laboratory results (liver function tests, blood counts, coagulation studies), imaging studies (ultrasound, CT scan), and any other relevant diagnostic information.

** This code should be used cautiously, and other codes may be necessary depending on the underlying etiology and severity of the condition.Consult the latest ICD-10-CM guidelines for the most up-to-date information.

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