This article will outline the causes, symptoms, diagnosis, treatment and the ICD 10 CM code for End Stage Liver Disease.
End Stage Liver Disease ICD 10 Causes
End Stage Liver Disease ICD 10 (Chronic liver failure) occurs due to liver damage that develops over time. This leads to cirrhosis, a large amount of scar tissue on the liver that prevents it from functioning normally. Acute liver failure can occur spontaneously or gradually. It can be caused by a variety of things, and in some cases the exact cause is unknown. Possible causes include:
- viral infections: such as hepatitis A, B and C infections
- reaction to prescription drugs such as antibiotics and NSAIDs
- reactions to herbal preparations such as Ma Huang Kava Kava
- metabolic diseases such as Wilson’s Disease
- autoimmune diseases such as autoimmune hepatitis
- liver diseases such as Budd Chiari syndrome
- exposure to toxins such as those found in industrial chemicals
- alcohol-related liver disease
- diseases that affect bile ducts, such as Cholangitis.
End Stage Liver Disease ICD 10 Symptoms
End Stage Liver Disease ICD 10 symptoms of terminal liver disease include:
- mild bleeding
- persistent or recurrent yellowing of the skin and eyes (jaundice)
- severe itching
- abdominal pain
- loss of appetite
- fluid retention in the abdomen and legs
- problems concentrating and remembering
End Stage Liver Disease ICD 10 Diagnosis
A doctor will ask for the patient’s medical history and symptoms and perform a thorough physical examination to observe the clinical signs of End Stage Liver Disease ICD 10. Cirrhosis diagnosis is based on the presence of risk factors for cirrhosis such as alcohol consumption and obesity, verified by physical examination, blood tests and images.
For example, during an abdominal exam, the liver can feel hard or enlarged, which is a sign of ascites. The doctor can also order blood tests, which can be helpful in evaluating the liver and increase the suspicion of cirrhosis. A patient with cirrhosis can also have an upper endoscopy.
Endoscopy is repeated every few years to monitor the varix. In order to check the liver for signs of enlargement or decreased blood flow (ascite) the doctor can order a computed tomography (CT), ultrasound, magnetic resonance imaging (MRI) or liver exam. A doctor examines the liver by inserting a laparoscope into the abdomen. A thin tube with a camera is inserted through the mouth to view the varicose veins through the esophagus and a food tube into the stomach. Laparoscopes and camera transfer the image to a computer screen.
A liver biopsy can confirm the diagnosis of cirrhosis, but it is not necessary. A biopsy is performed when a needle is inserted through a rib or vein in the neck. If a biopsy is performed too early, the results can affect treatment.
End Stage Liver Disease ICD 10 Treatment
Treatment of End Stage Liver Disease ICD 10 is likely to vary depending on the stage and cause of the liver disease. Some other causes of liver damage than cirrhosis can be found in biopsies. Tiny samples of liver tissue are examined under a microscope for scarring and other signs of Cirrhosis. At this stage, a person can receive treatment for inflammation or fibrosis, and there is a possibility that the liver can reverse damage.
Treatment in the later stages of liver disease is designed to prevent the disease from getting worse, with the aim of prolonging life. Possible treatments for people with chronic or acute liver disease include antiviral drugs caused by liver disease or viral hepatitis if the person needs them. Immunosuppressive drugs are another type of medication that may be necessary for people with immune hepatitis.
A person in the later stages of liver disease may need liver dialysis. This is an attempt to remove toxins from the bloodstream when the liver is unable to do so. In the case of ESLD, a person may need a liver transplant. The procedure is complex and depends on the availability of a suitable donor. Lifestyle choices that can cause liver disease are often linked to alcohol and obesity, so doctors advise a person to stop drinking and try to lose weight.
ICD 10 Code For End Stage Liver Disease
ICD 10 CM HCC27 Hepatic Failure not elsewhere classified
ICD 10 CM K72.01 Acute and subacute hepatic failure with coma
ICD 10 CM K72.10 Chronic hepatic failure without coma
ICD 10 CM K72.11 Chronic hepatic failure with coma
ICD 10 CM K72.90 Hepatic failure unspecified without coma
ICD 10 CM K72.91 Hepatic failure unspecified with coma
Related ICD 10 CM Codes:
ICD 10 CM K74.69 Other cirrhosis of liver
ICD 10 CM K70.30 Alcoholic cirrhosis of liver without ascites
ICD 10 CM K74.60 Unspecified cirrhosis of liver
ICD 10 CM K71.7 Toxic liver disease with fibrosis and cirrhosis of liver
ICD 10 CM K74 Fibrosis and cirrhosis of liver
ICD 10 CM N18.6 End stage renal disease
ICD 10 CM K70.31 Alcoholic cirrhosis of liver with ascites
ICD 10 CM K70.3 Alcoholic cirrhosis of liver