ICD Code K74.60

ICD code K74.60 is used to identify a diagnosis of unspecified cirrhosis of the liver. This code is applied when a patient has liver cirrhosis, but the specific type or cause of the cirrhosis is not detailed in the medical documentation. Cirrhosis is a condition characterized by the replacement of healthy liver tissue with scar tissue, which can lead to liver dysfunction. This code is crucial for healthcare providers to accurately document and communicate the patient's condition for treatment planning and billing purposes.

1. Chronic Liver Disease History: The patient has a documented history of chronic liver disease, which may include conditions such as hepatitis B or C, alcoholic liver disease, or nonalcoholic fatty liver disease.

2. Liver Function Test Abnormalities: Persistent abnormalities in liver function tests, such as elevated liver enzymes (ALT, AST), bilirubin, or alkaline phosphatase, indicating liver damage or dysfunction.

3. Imaging Findings: Imaging studies, such as ultrasound, CT scan, or MRI, reveal changes in liver structure, including nodularity, atrophy, or hypertrophy, consistent with cirrhosis.

4. Clinical Symptoms: The patient presents with clinical symptoms associated with liver dysfunction, such as jaundice, ascites, hepatic encephalopathy, or variceal bleeding.

5. Histological Evidence: Liver biopsy results show histological evidence of cirrhosis, including fibrosis and regenerative nodules, confirming the diagnosis.

6. Exclusion of Other Liver Conditions: Other potential causes of liver dysfunction, such as acute liver failure or specific liver tumors, have been ruled out through clinical evaluation and diagnostic testing.

7. Progressive Liver Disease: Evidence of progressive liver disease over time, with worsening clinical symptoms or laboratory findings, supporting the diagnosis of cirrhosis.

8. Absence of Specific Etiology: The specific cause of cirrhosis cannot be determined, and other specific types of cirrhosis have been excluded, leading to the classification as unspecified cirrhosis.

For the ICD code K74.60, which pertains to unspecified cirrhosis of the liver, the relevant CPT codes that may be applicable for treatment or management include:

1. CPT 47000 - Biopsy of liver, needle; percutaneous.
2. CPT 47001 - Biopsy of liver, needle; percutaneous, when done for diagnostic purposes.
3. CPT 47120 - Partial hepatectomy.
4. CPT 47122 - Hepatectomy, resection of liver; trisegmentectomy.
5. CPT 47350 - Ablation, open, of one or more liver tumor(s).
6. CPT 47370 - Laparoscopy, surgical, ablation of one or more liver tumor(s).
7. CPT 47562 - Laparoscopy, surgical; cholecystectomy.
8. CPT 47563 - Laparoscopy, surgical; cholecystectomy with cholangiography.
9. CPT 49083 - Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance.

These CPT codes are typically used in procedures related to the diagnosis, management, or treatment of liver conditions, including cirrhosis. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical context. Always ensure that coding is in compliance with the latest coding guidelines and payer-specific requirements.

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