K70.31: Alcoholic cirrhosis of liver with ascites

Risk adjustment

K70.31 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 64 Cirrhosis of Liver0.447 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

K70.31 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A56416Billing and Coding: Assays for Vitamins and Metabolic Function
• A56421Billing and Coding: CT of the Abdomen and Pelvis
• A56461Billing and Coding: Endoscopy by Capsule
• A56669Billing and Coding: Hospice - Liver Disease