Hepatic failure, not elsewhere classified
In Diseases of liver (K70-K77), chapter 11: Diseases of the Digestive System
6 billable codes under K72: 4 are an MCC; 4 map to HCC 63 (Chronic Liver Failure/End-Stage Liver Disorders).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
Advertisements
Instructional notes
Includes: conditions that are coded here
- fulminant hepatitis NEC, with hepatic failure
- liver (cell) necrosis with hepatic failure
- malignant hepatitis NEC, with hepatic failure
- yellow liver atrophy or dystrophy
Excludes1: not coded here, use a different code
Excludes2: not included here, code separately if applicable
Use additional code: add a second code for this, listed after this one
- code, if applicable, for ascites (R18.8)
Also applies, from Diseases of liver (K70-K77)
These notes sit on K70-K77 and apply to every code under it, including K72.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.
All codes under K72
K72 can't be used on a claim. Pick a billable code below; grey headings group them.
- K72.0Acute and subacute hepatic failure
- K72.00Acute and subacute hepatic failure without coma
- K72.01Acute and subacute hepatic failure with coma
- K72.1Chronic hepatic failure
- 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
K72 MS-DRGs
As the principal diagnosis, the billable codes under K72 group to MS-DRG 441, 442, 443, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 441 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC (6 of 6 codes)
- DRG 442 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC (6 of 6 codes)
- DRG 443 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC (6 of 6 codes)
- DRG 791 Prematurity with Major Problems (4 of 6 codes)
- DRG 793 Full Term Neonate with Major Problems (4 of 6 codes)
Other codes that refer to K72
Notes on these codes point to K72.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Liver Diseases
Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons. There are many kinds of liver diseases:
Read more about liver diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.