Medical Codes to Report Liver Cirrhosis

Medical Codes to Report Liver Cirrhosis Summary – The blog gives an overview of liver cirrhosis – that occurs due to severe scarring (fibrosis) and poor functioning of the liver.

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As per reports from the National Institutes of Health (NIH), liver cirrhosis is the 12th leading cause of death due to disease in the United States. In simple terms, cirrhosis involves severe scarring (fibrosis) and poor functioning of the liver, normally visible at the terminal stages of a chronic liver disease. It develops when the factors that damage the liver are present over a long period of time. Each time the liver gets injured, it tries to repair by itself and this results in the formation of scar tissue. As cirrhosis progresses, more and more scar tissue forms, making it difficult for the liver to function by itself. If diagnosed at an early stage, the severe damage to the liver can be effectively controlled and even reversed. Partnering with an experienced medical billing and coding company is the best option to ensure error-free claims for proper and timely reimbursement.

Long-term viral hepatitis infection and chronic alcohol abuse are the most common causes of cirrhosis in the United States. Other related causes include – fat accumulating in the liver (nonalcoholic fatty liver disease), iron buildup in the body (hemochromatosis), cystic fibrosis, biliary atresia, genetic digestive disorder, destruction of the bile ducts and use of medications ( like methotrexate or isoniazid). Generally, people with early-stage cirrhosis of the liver don’t have any specific symptoms. The signs and symptoms associated with the condition develop when the liver damage is extensive. Some of the common symptoms include – swelling in the legs, feet or ankles (edema), redness in the palms of the hands, decreased appetite, weight loss, nausea and weakness, itchy skin, fluid accumulation in the abdomen (ascites) and more.

Diagnosis of the condition begins with a detailed medical history review and physical examination.

Imaging tests like ultrasound scan of the liver, MRI and CT scan of the abdomen, Magnetic resonance elastography (MRE) and upper endoscopy will be performed to evaluate the hardening of the liver. In some cases, liver biopsy (a tissue sample for diagnosis) will be done to identify the severity, extent and cause of liver damage. Treatment modalities include a combination of medications, lifestyle changes and surgical options like liver transplantation (in advanced cases).

Codes for Reporting Liver Cirrhosis

General surgery medical coding involves using the specific ICD-10 diagnosis codes, CPT procedure codes for reporting cirrhosis of liver on your medical claims.

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ICD-10 Codes 

K74 Fibrosis and cirrhosis of liver

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K74.0 Hepatic fibrosis

 K74.00 Hepatic fibrosis, unspecified  K74.01 Hepatic fibrosis, early fibrosis  K74.02 Hepatic fibrosis, advanced fibrosis 

K74.1 Hepatic sclerosis

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K74.2 Hepatic fibrosis with hepatic sclerosis

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K74.3 Primary biliary cirrhosis

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K74.4 Secondary biliary cirrhosis

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K74.5 Biliary cirrhosis, unspecified

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K74.6 Other and unspecified cirrhosis of liver

 K74.60 Unspecified cirrhosis of liver  K74.69 Other cirrhosis of liver

CPT Codes 

47133 Donor hepatectomy (including cold preservation), from cadaver donor

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47135 Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age

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47140 Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)

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47141 Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)

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47142 Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)

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47143 Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; without trisegment or lobe split

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47144 Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; with trisegment split of whole liver graft into 2 partial liver grafts (i.e., left lateral segment [segments II and III] and right trisegment [segments I and IV through VIII])

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47145 Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; with lobe split of whole liver graft into 2 partial liver grafts (i.e., left lobe [segments II, III, and IV] and right lobe [segments I and V through VIII])

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47146 Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each

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47147 Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each

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47399 Unlisted procedure, liver

Quitting alcohol, eating a balanced diet, getting adequate exercise, maintaining a healthy body weight, and reducing the risk of hepatitis can help reduce slow the progression of cirrhosis.

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