K70.11
K70.11: Alcoholic hepatitis with ascites
Billable / specific codeICD-10-CM
K70.11 is a billable, specific ICD-10-CM code for alcoholic hepatitis with ascites. It is valid for submission on a claim.
Check K70.11 with the rest of the claim: free scrubberOther codes that can never be billed with K70.11
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
K70.11 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 65 Chronic Hepatitis0.185 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
K70.11 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57361Billing and Coding: Monitored Anesthesia Care
Alphabetic index entries that lead here
- Hepatitis›alcoholic›with ascites
- Ascites›due to›hepatitis›alcoholic
- Disease, diseased›liver›alcoholic›hepatitis›with ascites
Code history
Unchanged in every release from FY2024 to FY2027.