K71.50
BillableToxic liver disease with chronic active hepatitis without ascites
HCC Category Mapping
V28HCC 65 — Chronic Hepatitis
0.472What This Code Means
Chronic liver inflammation caused by toxic substances without fluid accumulation in the abdominal cavity.
Coding Tips
- •Confirm absence of ascites; if ascites is present, use K71.51 instead
- •Document the toxic substance responsible and timeline of exposure
Clinical Significance
Toxic liver disease with chronic active hepatitis without ascites represents ongoing liver inflammation from toxin exposure with preserved compensatory mechanisms. This condition requires immediate toxin cessation and aggressive treatment to prevent progression to decompensated liver disease.
Documentation Requirements
- ✓Documentation of chronic active hepatitis
- ✓Toxic etiology clearly established
- ✓Absence of ascites specifically documented
- ✓Evidence of active ongoing inflammation
- ✓Laboratory findings supporting hepatitis
- ✓Assessment of liver synthetic function
- ✓Identification of causative agent
- ✓Treatment plan addressing both toxin and inflammation
Commonly Confused Codes
K71.51 — Toxic chronic active hepatitis with ascites indicates decompensationK73.2 — Chronic active hepatitis not elsewhere classified lacks toxinK75.4 — Autoimmune hepatitis has different pathophysiologyK70.11 — Alcoholic hepatitis with ascites has alcohol etiologyB18.1 — Chronic hepatitis B has viral cause