K72

K72: Hepatic failure, not elsewhere classified

Non-billable headerICD-10-CM

K72 is a non-billable header ICD-10-CM code for hepatic failure, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

alcoholic hepatic failure (K70.4)
hepatic failure with toxic liver disease (K71.1-)
icterus of newborn (P55-P59)
postprocedural hepatic failure (K91.82)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
hepatic failure complicating pregnancy, childbirth and the puerperium (O26.6-)
viral hepatitis with hepatic coma (B15-B19)

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, for ascites (R18.8)

Includes

Conditions this code covers.

fulminant hepatitis NEC, with hepatic failure
liver (cell) necrosis with hepatic failure
malignant hepatitis NEC, with hepatic failure
yellow liver atrophy or dystrophy

Other codes that can never be billed with K72

Their own Excludes1 notes name this code, so the conflict is not listed above.

K75.2Nonspecific reactive hepatitis
K75.3Granulomatous hepatitis, not elsewhere classified
K75.9Inflammatory liver disease, unspecified
K76.2Central hemorrhagic necrosis of liver
K76.82Hepatic encephalopathy
R40Somnolence, stupor and coma

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead K72

3 child codes. Green means billable.