K71.3

Billable

Toxic liver disease with chronic persistent hepatitis

HCC Category Mapping

V28HCC 65 — Chronic Hepatitis

0.472

What This Code Means

Liver damage caused by toxic substances (drugs, chemicals, or toxins) that results in chronic persistent inflammation of the liver tissue.

Coding Tips

•Identify and document the specific toxic substance causing the liver damage; use an additional code from T36-T65 if applicable
•Distinguish from other forms of toxic hepatitis by confirming the persistent nature of the inflammation

Clinical Significance

Toxic liver disease with chronic persistent hepatitis represents ongoing liver inflammation caused by drug or chemical exposure, indicating need for toxin cessation and long-term monitoring. This condition can progress to cirrhosis and liver failure if the causative agent is not removed.

Documentation Requirements

✓Documentation of chronic persistent hepatitis
✓Identification of toxic causative agent
✓Evidence of ongoing or past exposure
✓Duration of hepatitis symptoms
✓Laboratory findings consistent with chronic inflammation
✓Assessment of liver function status
✓Treatment plan including toxin avoidance
✓Monitoring for disease progression

Commonly Confused Codes

K73.0 — Chronic persistent hepatitis not elsewhere classified lacks toxic cause K71.4 — Toxic liver disease with lobular hepatitis has different pattern K75.4 — Autoimmune hepatitis has immunologic cause B18.9 — Chronic viral hepatitis has infectious etiology K70.10 — Alcoholic hepatitis has alcohol as specific toxin

Code Hierarchy

└K71Toxic liver disease └K71.3Toxic liver disease with chronic persistent hepatitis

└K71.3Toxic liver disease with chronic persistent hepatitis