Diseases of liver (K70-K77)
K70Alcoholic liver disease
Use Additional Code: code to identify:
› alcohol abuse and dependence (F10.-)
K70.0Alcoholic fatty liver
K70.1Alcoholic hepatitis
K70.10Alcoholic hepatitis without ascites
K70.11Alcoholic hepatitis with ascites
K70.2Alcoholic fibrosis and sclerosis of liver
K70.3Alcoholic cirrhosis of liver
› Alcoholic cirrhosis NOS
K70.30Alcoholic cirrhosis of liver without ascites
K70.31Alcoholic cirrhosis of liver with ascites
K70.4Alcoholic hepatic failure
› Acute alcoholic hepatic failure
› Alcoholic hepatic failure NOS
› Chronic alcoholic hepatic failure
› Subacute alcoholic hepatic failure
K70.40Alcoholic hepatic failure without coma
K70.41Alcoholic hepatic failure with coma
K70.9Alcoholic liver disease, unspecified
K71Toxic liver disease
Includes: drug-induced idiosyncratic (unpredictable) liver disease
› drug-induced toxic (predictable) liver disease
Code First: poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Use Additional Code: code for adverse effect, if applicable, to identify drug (T36-T50) with fifth or sixth character 5)
Excludes 2: alcoholic liver disease (K70.-)
› Budd-Chiari syndrome (I82.0)
K71.0Toxic liver disease with cholestasis
› Cholestasis with hepatocyte injury
› 'Pure' cholestasis
K71.1Toxic liver disease with hepatic necrosis
› Hepatic failure (acute) (chronic) due to drugs
K71.10Toxic liver disease with hepatic necrosis, without coma
K71.11Toxic liver disease with hepatic necrosis, with coma
K71.2Toxic liver disease with acute hepatitis
K71.3Toxic liver disease with chronic persistent hepatitis
K71.4Toxic liver disease with chronic lobular hepatitis
K71.5Toxic liver disease with chronic active hepatitis
› Toxic liver disease with lupoid hepatitis
K71.50Toxic liver disease with chronic active hepatitis without ascites
K71.51Toxic liver disease with chronic active hepatitis with ascites
K71.6Toxic liver disease with hepatitis, not elsewhere classified
K71.7Toxic liver disease with fibrosis and cirrhosis of liver
K71.8Toxic liver disease with other disorders of liver
› Toxic liver disease with focal nodular hyperplasia
› Toxic liver disease with hepatic granulomas
› Toxic liver disease with peliosis hepatis
› Toxic liver disease with veno-occlusive disease of liver
K71.9Toxic liver disease, unspecified
K72Hepatic failure, not elsewhere classified
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: 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: 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)
K72.0Acute and subacute hepatic failure
› Acute non-viral hepatitis NOS
K72.00Acute and subacute hepatic failure without coma
K72.01Acute and subacute hepatic failure with coma
K72.1Chronic hepatic failure
› End stage liver disease
K72.10Chronic hepatic failure without coma
K72.11Chronic hepatic failure with coma
K72.9Hepatic failure, unspecified
K72.90Hepatic failure, unspecified without coma
K72.91Hepatic failure, unspecified with coma
› Hepatic coma NOS
K73Chronic hepatitis, not elsewhere classified
Excludes 1: alcoholic hepatitis (chronic) (K70.1-)
› drug-induced hepatitis (chronic) (K71.-)
› granulomatous hepatitis (chronic) NEC (K75.3)
› reactive, nonspecific hepatitis (chronic) (K75.2)
› viral hepatitis (chronic) (B15-B19)
K73.0Chronic persistent hepatitis, not elsewhere classified
K73.1Chronic lobular hepatitis, not elsewhere classified
K73.2Chronic active hepatitis, not elsewhere classified
K73.8Other chronic hepatitis, not elsewhere classified
K73.9Chronic hepatitis, unspecified
K74Fibrosis and cirrhosis of liver
Code Also: , if applicable, viral hepatitis (acute) (chronic) (B15-B19)
Excludes 1: alcoholic cirrhosis (of liver) (K70.3)
› alcoholic fibrosis of liver (K70.2)
› cardiac sclerosis of liver (K76.1)
› cirrhosis (of liver) with toxic liver disease (K71.7)
› congenital cirrhosis (of liver) (P78.81)
› pigmentary cirrhosis (of liver) (E83.110)
K74.0Hepatic fibrosis
Code First: underlying liver disease, such as:
› nonalcoholic steatohepatitis (NASH) (K75.81)
K74.00Hepatic fibrosis, unspecified
K74.01Hepatic fibrosis, early fibrosis
› Hepatic fibrosis, stage F1 or stage F2
K74.02Hepatic fibrosis, advanced fibrosis
› Hepatic fibrosis, stage F3
Excludes 1: cirrhosis of liver (K74.6-)
› hepatic fibrosis, stage F4 (K74.6-)
K74.1Hepatic sclerosis
K74.2Hepatic fibrosis with hepatic sclerosis
K74.3Primary biliary cirrhosis
› Chronic nonsuppurative destructive cholangitis
› Primary biliary cholangitis
Excludes 2: primary sclerosing cholangitis (K83.01)
K74.4Secondary biliary cirrhosis
K74.5Biliary cirrhosis, unspecified
K74.6Other and unspecified cirrhosis of liver
K74.60Unspecified cirrhosis of liver
› Cirrhosis (of liver) NOS
K74.69Other cirrhosis of liver
› Cryptogenic cirrhosis (of liver)
› Macronodular cirrhosis (of liver)
› Micronodular cirrhosis (of liver)
› Mixed type cirrhosis (of liver)
› Portal cirrhosis (of liver)
› Postnecrotic cirrhosis (of liver)
K75Other inflammatory liver diseases
Excludes 2: toxic liver disease (K71.-)
K75.0Abscess of liver
› Cholangitic hepatic abscess
› Hematogenic hepatic abscess
› Hepatic abscess NOS
› Lymphogenic hepatic abscess
› Pylephlebitic hepatic abscess
Excludes 1: amebic liver abscess (A06.4)
› cholangitis without liver abscess (K83.09)
› pylephlebitis without liver abscess (K75.1)
Excludes 2: acute or subacute hepatitis NOS (B17.9)
› acute or subacute non-viral hepatitis (K72.0)
› chronic hepatitis NEC (K73.8)
K75.1Phlebitis of portal vein
› Pylephlebitis
Excludes 1: pylephlebitic liver abscess (K75.0)
K75.2Nonspecific reactive hepatitis
Excludes 1: acute or subacute hepatitis (K72.0-)
› chronic hepatitis NEC (K73.-)
› viral hepatitis (B15-B19)
K75.3Granulomatous hepatitis, not elsewhere classified
Excludes 1: acute or subacute hepatitis (K72.0-)
› chronic hepatitis NEC (K73.-)
› viral hepatitis (B15-B19)
K75.4Autoimmune hepatitis
› Lupoid hepatitis NEC
K75.8Other specified inflammatory liver diseases
K75.81Nonalcoholic steatohepatitis (NASH)
Use Additional Code: code, if applicable, hepatic fibrosis (K74.0-)
K75.89Other specified inflammatory liver diseases
K75.9Inflammatory liver disease, unspecified
› Hepatitis NOS
Excludes 1: acute or subacute hepatitis (K72.0-)
› chronic hepatitis NEC (K73.-)
› viral hepatitis (B15-B19)
K76Other diseases of liver
Excludes 2: alcoholic liver disease (K70.-)
› amyloid degeneration of liver (E85.-)
› cystic disease of liver (congenital) (Q44.6)
› hepatic vein thrombosis (I82.0)
› hepatomegaly NOS (R16.0)
› pigmentary cirrhosis (of liver) (E83.110)
› portal vein thrombosis (I81)
› toxic liver disease (K71.-)
K76.0Fatty (change of) liver, not elsewhere classified
› Nonalcoholic fatty liver disease (NAFLD)
Excludes 1: nonalcoholic steatohepatitis (NASH) (K75.81)
K76.1Chronic passive congestion of liver
› Cardiac cirrhosis
› Cardiac sclerosis
K76.2Central hemorrhagic necrosis of liver
Excludes 1: liver necrosis with hepatic failure (K72.-)
K76.3Infarction of liver
K76.4Peliosis hepatis
› Hepatic angiomatosis
K76.5Hepatic veno-occlusive disease
Excludes 1: Budd-Chiari syndrome (I82.0)
K76.6Portal hypertension
Use Additional Code: code for any associated complications, such as:
› portal hypertensive gastropathy (K31.89)
K76.7Hepatorenal syndrome
Excludes 1: hepatorenal syndrome following labor and delivery (O90.41)
› postprocedural hepatorenal syndrome (K91.83)
K76.8Other specified diseases of liver
K76.81Hepatopulmonary syndrome
Code First: underlying liver disease, such as:
› alcoholic cirrhosis of liver (K70.3-)
› cirrhosis of liver without mention of alcohol (K74.6-)
K76.82Hepatic encephalopathy
› Hepatic encephalopathy, NOS
› Hepatic encephalopathy without coma
› Hepatocerebral intoxication
› Portal-systemic encephalopathy
Code Also: underlying liver disease, such as:
› acute and subacute hepatic failure without coma (K72.00)
› alcoholic hepatic failure without coma (K70.40)
› chronic hepatic failure without coma (K72.10)
› hepatic failure with toxic liver disease without coma (K71.10)
› hepatic failure without coma (K72.90)
› icterus of newborn (P55-P59)
› postprocedural hepatic failure (K91.82)
› viral hepatitis without hepatic coma (B15.9, B16.1, B16.9, B17.10, B19.10, B19.20, B19.9)
Excludes 1: acute and subacute hepatic failure with coma (K72.01)
› alcoholic hepatic failure with coma (K70.41)
› chronic hepatic failure with coma (K72.11)
› hepatic failure with coma (K72.91)
K76.89Other specified diseases of liver
› Cyst (simple) of liver
› Focal nodular hyperplasia of liver
› Hepatoptosis
K76.9Liver disease, unspecified
K77Liver disorders in diseases classified elsewhere
Code First: underlying disease, such as:
› amyloidosis (E85.-)
› congenital syphilis (A50.0, A50.5)
› congenital toxoplasmosis (P37.1)
› infectious mononucleosis with liver disease (B27.0-B27.9 with fifth character 9)
› schistosomiasis (B65.0-B65.9)
Excludes 1: alcoholic hepatitis (K70.1-)
› alcoholic liver disease (K70.-)
› cytomegaloviral hepatitis (B25.1)
› herpesviral [herpes simplex] hepatitis (B00.81)
› mumps hepatitis (B26.81)
› sarcoidosis with liver disease (D86.89)
› secondary syphilis with liver disease (A51.45)
› syphilis (late) with liver disease (A52.74)
› toxoplasmosis (acquired) hepatitis (B58.1)
› tuberculosis with liver disease (A18.83)