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2025 ICD-10-CM code K72.1

Chronic hepatic failure. End stage liver disease.

Code K72.1 should be used for chronic, rather than acute or subacute, liver failure. If the underlying cause of liver failure is known (e.g., alcoholic cirrhosis), it should be coded in addition to K72.1.

Medical necessity for services related to chronic hepatic failure should be supported by documentation of the severity of liver dysfunction and related complications, impacting the patient's overall health and quality of life.

Physicians managing patients with chronic hepatic failure are typically hepatologists or gastroenterologists. Their role involves diagnosis, determining disease severity, managing complications, and considering treatment options such as liver transplantation.

In simple words: Chronic hepatic failure is a long-term condition where the liver slowly stops working correctly.

Chronic hepatic failure is a progressive and irreversible deterioration of liver function over a prolonged period. It represents the final stage of many chronic liver diseases, where the liver is unable to perform its essential metabolic and synthetic functions.

Example 1: A patient with a history of cirrhosis presents with jaundice, ascites, and hepatic encephalopathy, indicating chronic hepatic failure., A patient with chronic hepatitis B experiences progressive liver dysfunction over several years, eventually developing chronic hepatic failure., A patient with non-alcoholic steatohepatitis (NASH) develops fibrosis and cirrhosis, leading to chronic hepatic failure.

Documentation should include evidence of chronic liver disease, imaging studies (e.g., ultrasound, CT scan), liver function tests, and clinical findings such as jaundice, ascites, and hepatic encephalopathy.

** Chronic hepatic failure is also referred to as end-stage liver disease. It is a serious condition that often requires specialized care and management.

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