2020 ICD-10-CM Diagnosis Code K71

Toxic liver disease

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • K71 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM K71 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K71 - other international versions of ICD-10 K71 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7)
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76)
    • contact dermatitis (L23-L25)
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • poisoning due to drug or toxin, if applicable (
    ICD-10-CM Diagnosis Code T36

    Poisoning by, adverse effect of and underdosing of systemic antibiotics

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • antineoplastic antibiotics (T45.1-)
    • locally applied antibiotic NEC (T49.0)
    • topically used antibiotic for ear, nose and throat (T49.6)
    • topically used antibiotic for eye (T49.5)
    T36
    -
    ICD-10-CM Diagnosis Code T65

    Toxic effect of other and unspecified substances

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    T65
    with fifth or sixth character 1-4 or 6)
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (K71) and the excluded code together.
  • alcoholic liver disease (
    ICD-10-CM Diagnosis Code K70
    • K70 Alcoholic liver disease
      • K70.0 Alcoholic fatty liver
      • K70.1 Alcoholic hepatitis
      • K70.2 Alcoholic fibrosis and sclerosis of liver
      • K70.3 Alcoholic cirrhosis of liver
      • K70.4 Alcoholic hepatic failure
      • K70.9 Alcoholic liver disease, unspecified
    K70.-
    )
  • Budd-Chiari syndrome (
    ICD-10-CM Diagnosis Code I82.0

    Budd-Chiari syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hepatic vein thrombosis
    I82.0
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • drug-induced idiosyncratic (unpredictable) liver disease
  • drug-induced toxic (predictable) liver disease
The following code(s) above K71 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K71:
  • K00-K95
    2020 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the digestive system
  • K70-K77
    2020 ICD-10-CM Range K70-K77

    Diseases of liver

    Type 1 Excludes
    • jaundice NOS (R17)
    Type 2 Excludes
    Diseases of liver
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to K71:
  • Type 1 Excludes: K73
    ICD-10-CM Diagnosis Code K73

    Chronic hepatitis, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • alcoholic hepatitis (chronic) (K70.1-)
    • drug-induced hepatitis (chronic) (K71.-)
    • granulomatous hepatitis (chronic) NEC (K75.3)
    • reactive, nonspecific hepatitis (chronic) (K75.2)
    • viral hepatitis (chronic) (B15-B19)
  • Type 2 Excludes: K75
    , K76
    ICD-10-CM Diagnosis Code K75

    Other inflammatory liver diseases

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • toxic liver disease (K71.-)
    ICD-10-CM Diagnosis Code K76

    Other diseases of liver

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • alcoholic liver disease (K70.-)
    • amyloid degeneration of liver (E85.-)
    • cystic disease of liver (congenital) (Q44.6)
    • hepatic vein thrombosis (I82.0)
    • hepatomegaly NOS (R16.0)
    • pigmentary cirrhosis (of liver) (E83.110)
    • portal vein thrombosis (I81)
    • toxic liver disease (K71.-)
ICD-10-CM Codes Adjacent To K71
K70.10 …… without ascites
K70.11 …… with ascites
K70.2 Alcoholic fibrosis and sclerosis of liver
K70.3 Alcoholic cirrhosis of liver
K70.30 …… without ascites
K70.31 …… with ascites
K70.4 Alcoholic hepatic failure
K70.40 …… without coma
K70.41 …… with coma
K70.9 Alcoholic liver disease, unspecified
K71 Toxic liver disease
K71.0 Toxic liver disease with cholestasis
K71.1 Toxic liver disease with hepatic necrosis
K71.10 …… without coma
K71.11 …… with coma
K71.2 Toxic liver disease with acute hepatitis
K71.3 Toxic liver disease with chronic persistent hepatitis
K71.4 Toxic liver disease with chronic lobular hepatitis
K71.5 Toxic liver disease with chronic active hepatitis
K71.50 …… without ascites
K71.51 …… with ascites

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.