K71.11

Billable

Toxic liver disease with hepatic necrosis, with coma

HCC Category Mapping

V24HCC 27 — End-Stage Liver Disease

0.910

ESRDHCC 27 — End-Stage Liver Disease

0.000

What This Code Means

Severe liver damage caused by toxic substances with tissue death and necrosis, accompanied by loss of consciousness due to hepatic encephalopathy.

Coding Tips

•This code indicates a medical emergency with hepatic coma; document the specific toxic agent responsible
•Hepatic encephalopathy must be explicitly documented to justify this code

Clinical Significance

Toxic liver disease with hepatic necrosis and coma represents the most severe form of drug or toxin-induced liver injury with tissue death and neurological complications. This condition has extremely high mortality risk requiring immediate intensive care and potential liver transplantation.

Documentation Requirements

✓Documentation of toxic liver disease
✓Evidence of hepatic necrosis or tissue death
✓Presence of coma or altered mental status
✓Identification of causative toxin or drug
✓Timing of exposure and symptom onset
✓Neurological assessment findings
✓Intensive care management requirements
✓Emergency transplant evaluation

Commonly Confused Codes

K71.10 — Toxic liver disease with necrosis without coma K72.01 — Acute hepatic failure with coma from other causes T36-T50 — Drug poisoning codes should be used additionally K70.41 — Alcoholic hepatic failure has different etiology G93.1 — Anoxic brain damage without liver involvement

Code Hierarchy

└K71Toxic liver disease └K71.1Toxic liver disease with hepatic necrosis └K71.11Toxic liver disease with hepatic necrosis, with coma

└K71.11Toxic liver disease with hepatic necrosis, with coma