Hepatic Encephalopathy - brundagegroup.com

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Hepatic Encephalopathy

There is not a specific ICD-10 code for hepatic encephalopathy. Hepatic encephalopathy will map to one of the codes for hepatic failure. The key for documentation purposes is to have the provider specify if the hepatic encephalopathy is acute and whether or not there is associated coma.

? Acute hepatic encephalopathy with coma will code to K72.01, acute and subacute hepatic failure with coma, which supports maximal illness in the chart (is an MCC).

? Acute hepatic encephalopathy without coma will code to K72.00, acute and subacute hepatic failure without coma, which supports maximal illness in the chart (is an MCC).

? Hepatic encephalopathy with coma will code to K72.91, hepatic failure, unspecified with coma, which supports maximal illness in the chart (is an MCC).

? Hepatic encephalopathy without coma will code to K72.90, hepatic failure, unspecified without coma, which does not support illness in the coded record (is neither a CC or an MCC).

If the provider is escalating treatment for the hepatic encephalopathy, such as adding or increasing lactulose or rifaximin, then the provider should add the term ACUTE to the hepatic encephalopathy, as clinically appropriate.

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