K72.91: Hepatic failure, unspecified with coma
K72.91 is a billable, specific ICD-10-CM code for hepatic failure, unspecified with coma. It is valid for submission on a claim.
Check K72.91 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hepatic coma NOS
Excludes1 inherited from the categories above K72.91
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above K72.91
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with K72.91
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
K72.91 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 63 Chronic Liver Failure/End-Stage Liver Disorders0.962 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
K72.91 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56612Billing and Coding: CT of the Head
- A56669Billing and Coding: Hospice - Liver Disease
Alphabetic index entries that lead here
- Atrophy, atrophic›liver›with coma
- Failure, failed›hepatic›with coma
- Hepatitis›malignant NEC›with coma
- Impaired, impairment›liver›with coma
- Jaundice›malignant›with coma
Code history
Unchanged in every release from FY2024 to FY2027.