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K72 ICD-10-CM Code: Hepatic failure, not elsewhere classified

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Diseases of liver (K70-K77)

K72

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Hepatic failure, not elsewhere classified

Hepatic failure, not elsewhere classified

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
K7Diseases of liver (K70-K77)
K72Hepatic failure, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K72 in this effective period.

Excludes 2

Official
  • hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • hepatic failure complicating pregnancy, childbirth and the puerperium (O26.6-)
  • viral hepatitis with hepatic coma (B15-B19)

Related Child Codes

Official
K72.0Acute and subacute hepatic failure
K72.1Chronic hepatic failure
K72.9Hepatic failure, unspecified

Includes

Official
  • fulminant hepatitis NEC, with hepatic failure
  • liver (cell) necrosis with hepatic failure
  • malignant hepatitis NEC, with hepatic failure
  • yellow liver atrophy or dystrophy

Excludes 1

Official
  • alcoholic hepatic failure (K70.4)
  • hepatic failure with toxic liver disease (K71.1-)
  • icterus of newborn (P55-P59)
  • postprocedural hepatic failure (K91.82)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K72 in this effective period.

Use Additional

Official
  • code, if applicable, for ascites (R18.8)

Code Also

Official

ICD-10-CM does not list Code Also instructions for K72 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
K72
Description
Hepatic failure, not elsewhere classified
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

K72 is the ICD-10-CM diagnosis code for hepatic failure, not elsewhere classified. K72 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering diseases of liver (k70-k77).

Header codes like K72 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K72's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K72 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • fulminant hepatitis NEC, with hepatic failure
  • liver (cell) necrosis with hepatic failure
  • malignant hepatitis NEC, with hepatic failure
  • yellow liver atrophy or dystrophy

Excludes 1, Do NOT code together

  • alcoholic hepatic failure (K70.4)
  • hepatic failure with toxic liver disease (K71.1-)
  • icterus of newborn (P55-P59)
  • postprocedural hepatic failure (K91.82)

Excludes 2, Not included here, may code separately

  • hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • hepatic failure complicating pregnancy, childbirth and the puerperium (O26.6-)
  • viral hepatitis with hepatic coma (B15-B19)

Use Additional Code

  • code, if applicable, for ascites (R18.8)

Child Codes

Code Hierarchy

K72Hepatic failure, not elsewhere classified
K72Hepatic failure, not elsewhere classified

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