2020 ICD-10-CM Diagnosis Code K72

Hepatic failure, not elsewhere classified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • K72 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 K72 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K72 - other international versions of ICD-10 K72 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as K72. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • alcoholic hepatic failure (
    ICD-10-CM Diagnosis Code K70.4

    Alcoholic hepatic failure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Acute alcoholic hepatic failure
    • Alcoholic hepatic failure NOS
    • Chronic alcoholic hepatic failure
    • Subacute alcoholic hepatic failure
    K70.4
    )
  • hepatic failure with toxic liver disease (
    ICD-10-CM Diagnosis Code K71.1

    Toxic liver disease with hepatic necrosis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Hepatic failure (acute) (chronic) due to drugs
    K71.1-
    )
  • icterus of newborn (
    ICD-10-CM Diagnosis Code P55

    Hemolytic disease of newborn

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    P55
    -
    ICD-10-CM Diagnosis Code P59

    Neonatal jaundice from other and unspecified causes

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • jaundice due to inborn errors of metabolism (E70-E88)
    • kernicterus (P57.-)
    P59
    )
  • postprocedural hepatic failure (
    ICD-10-CM Diagnosis Code K91.82

    Postprocedural hepatic failure

      2016 2017 2018 2019 2020 Billable/Specific Code
    K91.82
    )
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 (K72) and the excluded code together.
  • hepatic failure complicating abortion or ectopic or molar pregnancy (
    ICD-10-CM Diagnosis Code O00

    Ectopic pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • ruptured ectopic pregnancy
    Use Additional
    • code from category O08 to identify any associated complication
    O00
    -
    ICD-10-CM Diagnosis Code O07

    Failed attempted termination of pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • failure of attempted induction of termination of pregnancy
    • incomplete elective abortion
    Type 1 Excludes
    • incomplete spontaneous abortion (O03.0-)
    O07
    ,
    ICD-10-CM Diagnosis Code O08.8

    Other complications following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    O08.8
    )
  • hepatic failure complicating pregnancy, childbirth and the puerperium (
    ICD-10-CM Diagnosis Code O26.6

    Liver and biliary tract disorders in pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • hepatorenal syndrome following labor and delivery (O90.4)
    Use Additional
    • code to identify the specific disorder
    O26.6-
    )
  • viral hepatitis with hepatic coma (B15-B19
    ICD-10-CM Range B15-B19

    Viral hepatitis

    Type 1 Excludes
    • sequelae of viral hepatitis (B94.2)
    Type 2 Excludes
    • cytomegaloviral hepatitis (B25.1)
    • herpesviral [herpes simplex] hepatitis (B00.81)
    • B15 Acute hepatitis A
    • B16 Acute hepatitis B
    • B17 Other acute viral hepatitis
    • B18 Chronic viral hepatitis
    • B19 Unspecified viral hepatitis
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • fulminant hepatitis NEC, with hepatic failure
  • hepatic encephalopathy NOS
  • liver (cell) necrosis with hepatic failure
  • malignant hepatitis NEC, with hepatic failure
  • yellow liver atrophy or dystrophy
The following code(s) above K72 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 K72:
  • 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
Clinical Information
  • A constellation of signs and symptoms characterized by changes in personality, consciousness, and reflexes, resulting from neuropsychiatric abnormalities secondary to liver failure without evidence of other brain disease.
  • A syndrome characterized by central nervous system dysfunction in association with liver failure, including portal-systemic shunts. Clinical features include lethargy and confusion (frequently progressing to coma); asterixis; nystagmus, pathologic; brisk oculovestibular reflexes; decorticate and decerebrate posturing; muscle spasticity; and bilateral extensor plantar reflexes (see reflex, babinski). Electroencephalography may demonstrate triphasic waves. (from Adams et al., Principles of Neurology, 6th ed, pp1117-20; plum & posner, diagnosis of stupor and coma, 3rd ed, p222-5)
  • Syndrome characterized by central nervous system dysfunction in association with liver failure, including portal-systemic shunts; clinical features include lethargy and confusion, frequently progressing to coma, asterixis, nystagmus, brisk oculovestibular reflexes, decorticate and decerebrate posturing, muscle spasticity, and bilateral extensor plantar reflexes.
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 K72:
  • Type 1 Excludes: K76.2
    , R40
    ICD-10-CM Diagnosis Code K76.2

    Central hemorrhagic necrosis of liver

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • liver necrosis with hepatic failure (K72.-)
    ICD-10-CM Diagnosis Code R40

    Somnolence, stupor and coma

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • neonatal coma (P91.5)
    • somnolence, stupor and coma in diabetes (E08-E13)
    • somnolence, stupor and coma in hepatic failure (K72.-)
    • somnolence, stupor and coma in hypoglycemia (nondiabetic) (E15)
ICD-10-CM Codes Adjacent To K72
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
K71.6 Toxic liver disease with hepatitis, not elsewhere classified
K71.7 Toxic liver disease with fibrosis and cirrhosis of liver
K71.8 Toxic liver disease with other disorders of liver
K71.9 Toxic liver disease, unspecified
K72 Hepatic failure, not elsewhere classified
K72.0 Acute and subacute hepatic failure
K72.00 …… without coma
K72.01 …… with coma
K72.1 Chronic hepatic failure
K72.10 …… without coma
K72.11 …… with coma
K72.9 Hepatic failure, unspecified
K72.90 …… without coma
K72.91 …… with coma
K73 Chronic hepatitis, not elsewhere classified

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