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Home/Diagnosis/ICD-10 Coding for Biliary Cirrhosis

ICD-10 Coding for Biliary Cirrhosis

K74.3
K74.4
K74.5

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

Also Known as:
Primary Biliary Cirrhosis
Secondary Biliary Cirrhosis
Primary Biliary Cholangitis
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Key Information: ICD-10 Coding for Biliary Cirrhosis

Essential facts and insights about ICD-10 Coding for Biliary Cirrhosis

Use ICD-10 code K74.3 for primary biliary cirrhosis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary biliary cirrhosis

Billable Code
K74.3
Billable

Diagnostic Criteria

clinical:
  • • Presence of AMA positivity and elevated ALP
documentation:
  • • Explicit mention of 'primary biliary cirrhosis'

Applicable To

  • • Primary biliary cholangitis

Important Notes

  • • Ensure documentation specifies 'primary' and includes lab results.

Secondary biliary cirrhosis

Billable Code
K74.4
Billable

Diagnostic Criteria

clinical:
  • • Imaging showing bile duct obstruction
  • • ERCP findings

Applicable To

  • • Cirrhosis due to bile duct obstruction

Important Notes

  • • Ensure documentation links cirrhosis to a secondary cause.

Unspecified biliary cirrhosis

Billable Code
K74.5
Billable

Important Notes

  • • Query provider for more specific information if possible.

Primary biliary cholangitis

Non-Billable
K83.0
Non-Billable

Diagnostic Criteria

clinical:
  • • AMA positivity
  • • Elevated ALP

Important Notes

  • • Verify if the term 'cholangitis' is used synonymously with cirrhosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

I85.11

Esophageal varices with bleeding

Use when varices are a complication of cirrhosis.

K83.0

Primary biliary cholangitis

Use if documentation specifies cholangitis without cirrhosis.

Frequently Asked Questions

What is the ICD-10 code for primary biliary cirrhosis?

The ICD-10 code for primary biliary cirrhosis is K74.3. It requires documentation of AMA positivity and elevated ALP levels.

How to differentiate between primary and secondary biliary cirrhosis?

Primary biliary cirrhosis (K74.3) is indicated by AMA positivity, while secondary biliary cirrhosis (K74.4) involves bile duct obstruction.

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