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

K72 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

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Code lookupK72

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

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

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

No inclusion terms are included in this display for K72. Check the code and parent instructions in the Code Book.

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)
  • certain conditions originating in the perinatal period (P04-P96)Inherited from K00-K95, K70-K77
  • certain infectious and parasitic diseases (A00-B99)Inherited from K00-K95, K70-K77
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from K00-K95, K70-K77
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Inherited from K00-K95, K70-K77
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from K00-K95, K70-K77
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from K00-K95, K70-K77
  • neoplasms (C00-D49)Inherited from K00-K95, K70-K77
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from K00-K95, K70-K77
  • hemochromatosis (E83.11-)Inherited from K00-K95, K70-K77
  • Reye's syndrome (G93.7)Inherited from K00-K95, K70-K77
  • viral hepatitis (B15-B19)Inherited from K00-K95, K70-K77
  • Wilson's disease (E83.01)Inherited from K00-K95, K70-K77

Related Codes

Official
K72.0Acute and subacute hepatic failureK72.1Chronic hepatic failureK72.9Hepatic 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)
  • jaundice NOS (R17)Inherited from K70-K77

Code First

Official

No Code First sequencing instructions are included in this display for K72. Check the code and parent instructions in the Code Book.

Use Additional

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

Code Also

Official

No Code Also instructions are included in this display for K72. Check the code and parent instructions in the Code Book.

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 reference coefficient
—
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. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, 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

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

Code Hierarchy

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

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