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Home/Diagnosis/ICD-10 Coding for Abnormal Liver Function

ICD-10 Coding for Abnormal Liver Function

R94.5
R74.01

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abnormal liver function includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Abnormal Liver Function Tests
Elevated Liver Enzymes
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Key Information: ICD-10 Coding for Abnormal Liver Function

Essential facts and insights about ICD-10 Coding for Abnormal Liver Function

Use ICD-10 code R94.5 for abnormal results of liver function studies, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Abnormal results of liver function studies

Billable Code
R94.5
Billable

Diagnostic Criteria

clinical:
  • • ALT/AST/ALP >2x ULN without a specific diagnosis
documentation:
  • • Provider must document 'abnormal liver function studies'

Applicable To

  • • Unexplained abnormal liver function tests

Important Notes

  • • Ensure provider documentation explicitly states the abnormality.

Elevated transaminases

Billable Code
R74.01
Billable

Diagnostic Criteria

clinical:
  • • Documented elevation of ALT/AST without cholestasis

Applicable To

  • • Isolated ALT/AST elevation

Important Notes

  • • Ensure specific enzyme elevations are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.9

Unspecified abdominal pain

Use to document symptoms associated with abnormal liver function.

Frequently Asked Questions

When should R94.5 be used for abnormal liver function?

Use R94.5 when liver function tests are abnormal but no specific liver disease is diagnosed. Ensure provider documentation explicitly states 'abnormal liver function studies.'

What is the ICD-10 code for elevated liver enzymes?

The ICD-10 code for elevated liver enzymes is R74.01, used when ALT/AST are elevated without other enzyme abnormalities.

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