K71.7
BillableToxic liver disease with fibrosis and cirrhosis of liver
HCC Category Mapping
V28HCC 64 — Cirrhosis of Liver
0.666What This Code Means
Liver scarring and cirrhosis (permanent liver damage) resulting from chronic exposure to toxic substances.
Coding Tips
- •This code indicates advanced liver disease; document the stage of cirrhosis if available
- •Identify the specific toxic agent and code it separately; consider complications like portal hypertension
Clinical Significance
Toxic liver disease with fibrosis and cirrhosis represents irreversible liver scarring from chronic toxin exposure, indicating advanced liver disease with poor prognosis. This condition requires lifelong monitoring for complications and consideration for liver transplantation.
Documentation Requirements
- ✓Documentation of liver fibrosis and cirrhosis
- ✓Toxic etiology clearly established
- ✓Evidence of scarring on imaging or biopsy
- ✓Assessment of liver synthetic function
- ✓Identification of causative toxin
- ✓Evaluation for portal hypertension
- ✓Screening for hepatocellular carcinoma
- ✓Transplant candidacy assessment
Commonly Confused Codes
K70.30 — Alcoholic cirrhosis has alcohol as specific toxinK74.60 — Unspecified cirrhosis lacks toxic etiologyK71.51 — Toxic chronic active hepatitis with ascites lacks cirrhosisK76.1 — Chronic passive congestion has different pathophysiologyZ94.4 — Liver transplant status for post-transplant patients