Elevated Liver Enzymes ICD-10-CM codes
ICD-10-CM codes for elevated liver enzymes and abnormal liver function tests, including transaminitis (elevated ALT and AST), elevated LDH, and hyperbilirubinemia.
13 codes, 11 billable. FY2027, valid from October 1, 2026. In chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings.
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How to code Elevated Liver Enzymes
R74.01 is elevation of levels of liver transaminase levels, and it is the code for transaminitis, transaminasemia, elevated ALT, and elevated AST. Elevated LDH is R74.02. Elevated alkaline phosphatase and other hepatic enzymes are R74.8, and R74.9 is an abnormal serum enzyme level, unspecified.
The index sends an abnormal liver function test without detail to R79.89, and an abnormal liver function study to R94.5. The index sends elevated bilirubin to R17 (unspecified jaundice), even without visible jaundice. Gilbert syndrome is E80.4 and other disorders of bilirubin metabolism are E80.6.
These are findings, so they are not coded once the cause is diagnosed, for example K76.0 for fatty liver or K75.81 for NASH. See the fatty liver disease guide for those codes.
All Elevated Liver Enzymes codes
- E80.4Gilbert syndrome
- E80.6Other disorders of bilirubin metabolism
- K75.81Nonalcoholic steatohepatitis (NASH)
- K76.0Fatty (change of) liver, not elsewhere classified
- R17Unspecified jaundice
- R74Abnormal serum enzyme levels
- R74.0Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
- R74.01Elevation of levels of liver transaminase levels
- R74.02Elevation of levels of lactic acid dehydrogenase [LDH]
- R74.8Abnormal levels of other serum enzymes
- R74.9Abnormal serum enzyme level, unspecified
- R79.89Other specified abnormal findings of blood chemistry
- R94.5Abnormal results of liver function studies
More Symptom and Finding Guides
Chest PainAbdominal PainShortness of Breath and DyspneaFeverFatigue and MalaiseDizziness and SyncopeNausea and VomitingCoughHeadacheElevated Blood Pressure ReadingElevated Blood Glucose and PrediabetesHematuriaAll 335 guides
