Name of the Condition

• Alcoholic Hepatic Failure without Coma
• ICD-10 Code: K70.40

Summary

Alcoholic hepatic failure without coma is a severe liver condition caused by the excessive consumption of alcohol, leading to significant liver dysfunction. Unlike some liver failures, this condition does not involve coma.

Causes

The primary cause of this condition is prolonged and excessive alcohol intake, resulting in liver damage that impairs its normal functions.

Risk Factors

• Chronic alcohol abuse
• Age (older individuals are more susceptible)
• Poor nutrition
• Concurrent liver conditions (e.g., hepatitis)

Symptoms

• Jaundice (yellowing of the skin and eyes)
• Fatigue and weakness
• Abdominal pain and swelling
• Nausea and vomiting
• Confusion or cognitive impairment

Diagnosis

• Blood tests to assess liver function (e.g., liver enzyme tests, bilirubin levels)
• Imaging studies such as ultrasound or CT scan to evaluate liver condition
• Possible liver biopsy to assess the extent of damage

Treatment Options

• Cessation of alcohol consumption to prevent further liver damage
• Medications to manage symptoms (e.g., diuretics for swelling)
• Nutritional support to promote liver health
• In severe cases, a liver transplant may be considered

Prognosis and Follow-Up

• Prognosis varies depending on the extent of liver damage and adherence to treatment, particularly alcohol abstinence.
• Regular monitoring of liver function and health check-ups are crucial for managing the condition.

Complications

• Ascites (fluid accumulation in the abdomen)
• Hepatic encephalopathy (brain dysfunction due to liver failure)
• Bleeding disorders
• Increased risk of liver cancer

Lifestyle & Prevention

• Complete avoidance of alcohol
• Balanced diet rich in nutrients
• Regular exercise to maintain overall health
• Monitoring and management of existing liver conditions

When to Seek Professional Help

• Sudden or severe pain in the abdomen
• Severe jaundice
• Altered mental status or confusion
• Any significant change in the severity of symptoms

Additional Resources

• American Liver Foundation: liverfoundation.org
• National Institute on Alcohol Abuse and Alcoholism: niaaa.nih.gov
• Alcoholics Anonymous for support and resources: aa.org

Tips for Medical Coders

• Ensure to differentiate from other types of hepatic failure by confirming the absence of coma.
• Verify documentation specifies the condition is alcohol-related to use K70.40 accurately.
• Pay attention to any additional symptoms or complications for potential secondary coding.