Learn about icd 9 code for Alcoholic Cirrhosis

Learn about icd 9 code for Alcoholic Cirrhosis
High magnification micrograph of a liver with cirrhosis. (Photo credit: Wikipedia)
Cirrhosis of the liver is a chronic, progressive disease characterized by damage to the hepatic parenchymal cells and nodular regeneration, fibrosis formation, and disturbance in the structure and normal function of the liver. Alcoholic cirrhosis accounts for about 60 percent of all cirrhosis cases and the risk appears to rise with the amount of alcohol consumed daily. Chronic high levels of alcohol consumption injure the liver cells.  ICD 9 code for alcoholic cirrhosis is very important in medical coding. Most of the abdomen related exams are done to find any complication related to alcoholic cirrhosis especially with alcoholic patients. Hence, ICD 9 code for alcoholic cirrhosis of liver is  used very frequently in medical coding.

ICD 9 code for Alcoholic Cirrhosis of Liver 571.2
ICD 10 new code alcoholic Cirrhosis of liver is K70.30.

Signs and symptoms of icd 9 code for Alcoholic cirrhosis
•    Jaundice
•    Nausea and Vomiting
•    Fatigue
•    Loss of appetite
•    Fatty liver
•    Chronic viral infections of liver like hepatitis B, C and D

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IC9 code for alcoholic cirrhosis supporting documentation

History and Physical: In taking patient’s history, the physician may see a history of excessive and prolonged alcohol intake, intravenous drug abuse or hepatitis.  Patients might present with fatigue, weakness, loss of appetite, itching, and easy bruising. Telangiectasis, spider like markings on the skin, may  also be seen as well as yellowing of the sclera and skin (jaundice), enlarged liver, spleen and abdominal distention due to ascites

Diagnostic exam performed to check alcoholic cirrhosis
Laboratory: Liver function studies (PT, INR, SGOT, LDH, ALT and AST), Bun, creatinine, PT, INR
Radiology: Computerized tomography CT-Scan, Ultrasound, MRI, Exploratory Laparoscopy, Liver biopsy

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Main chronic condition associated with Icd 9 code for alcoholic cirrhosis

•    Chronic hepatitis C
•    Chronic hepatitis B&D
•    Fatty liver
•    Portal hypertension
•    Gastric ulcer
•    Esophageal varices
•    Puritis
•    Peritonitis
•    Ascites
•    Edema
•    Gastrointestinal bleeding
•    Hepatic encephalopathy
•    Hypersplenism

Treatment for alcoholic cirrhosis

Medications: Diuretics-Spironolactone, and Furosemide to treat ascites, Beta-blocker- Propranolol, and nitrites to treat portal hypertension, Octreotide.
Surgical treatment for alcoholic cirrhosis
•    Paracentesis
•    Liver transplant dependent on severity
•  Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure is used to decrease portal         hypertension
•    EGD with banding ligation or Sclerotherapy to treat active bleeding
•    Distal splenorenal shunt (DSRS) to treat portal hypertension.

Non-surgical Treatment for alcoholic cirrhosis
•    Nutritional counseling
•    Psychological consults.

Reimburement Issues

Cirrhosis and Alcoholic hepatitis will group to one of the three MS-DRGs (432-434) based on the presence or absence of a major CC (MCC) or CC.
RAC is reviewing MS-DRG 432.  They will validate the principle diagnosis, secondary diagnosis, and procedures affecting or potentially affecting the DRG.  Make sure the documentation supports the assignment of an MCC and that the sequencing of principal diagnosis is correct.

Sequencing of icd 9 code for alcoholic cirrhosis

If a patient is admitted with both hepatic encephalopathy and alcoholic cirrhosis, hepatic encephalopathy would be the principal diagnosis.
For a patient admitted with bleeding esophageal varices due to alcoholic liver cirrhosis, sequence the alcoholic liver cirrhosis first.
In cirrhosis with gastric varices, this coding convention is not applicable; you would sequence the gastric varices first then the alcoholic liver cirrhosis.  
When sequencing bleeding esophageal varices vs. Laennec’s cirrhosis, according to the alphabetic index the cirrhosis is to be sequenced first.  
If the patient is admitted with hepatic encephalopathy due to both acute viral hepatitis B and alcoholic liver cirrhosis, assign code 070.20 Viral hepatitis B with Hepatic Coma without mention of hepatitis Delta as your principal diagnosis. Code also the Alcoholic cirrhosis of liver 571.2 along with the applicable alcohol dependence code.

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