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Unspecified cirrhosis of liver

ICD10CM code

Name of the Condition

  • Unspecified Cirrhosis of Liver
  • Also known as: Cirrhosis, Liver Cirrhosis

Summary

Unspecified cirrhosis of the liver is a condition characterized by the scarring (fibrosis) of liver tissue, which impairs the liver's ability to function properly. Over time, healthy liver cells are replaced with scar tissue, which can lead to serious complications.

Causes

  • Chronic alcohol abuse
  • Chronic viral hepatitis (B, C, and D)
  • Nonalcoholic fatty liver disease (NAFLD)
  • Autoimmune hepatitis
  • Genetic disorders (e.g., hemochromatosis, Wilson's disease)

Risk Factors

  • Excessive alcohol consumption
  • Viral hepatitis infections
  • Obesity and metabolic syndrome
  • Genetic predisposition
  • Long-term exposure to toxins and certain medications

Symptoms

  • Fatigue
  • Weakness
  • Jaundice (yellowing of the skin and eyes)
  • Itchy skin
  • Easy bruising or bleeding
  • Swelling in legs and abdomen

Diagnosis

  • Blood tests to assess liver function
  • Imaging tests (ultrasound, CT, MRI) to view liver structure
  • Liver biopsy to examine tissue
  • Elastography to measure liver stiffness

Treatment Options

  • Lifestyle modifications (e.g., alcohol abstinence, weight loss)
  • Medications to control symptoms and manage complications
  • Treatment of underlying causes (e.g., antiviral therapy for hepatitis)
  • Liver transplant in severe cases

Prognosis and Follow-Up

  • Early detection and management can improve outcomes; however, cirrhosis can progress to liver failure or cancer.
  • Regular follow-up is crucial to monitor liver function and prevent complications.

Complications

  • Portal hypertension
  • Variceal bleeding
  • Ascites (fluid accumulation)
  • Hepatic encephalopathy
  • Liver cancer

Lifestyle & Prevention

  • Avoid excessive alcohol consumption
  • Maintain a healthy weight
  • Vaccinate against hepatitis B
  • Manage chronic conditions like diabetes
  • Practice safe sex and avoid sharing needles

When to Seek Professional Help

  • Persistent jaundice
  • Severe abdominal pain or swelling
  • Vomiting blood or blood in stool
  • Confusion or changes in mental state

Additional Resources

Tips for Medical Coders

  • Ensure accuracy in coding by confirming that the condition is unspecified; other specific types of cirrhosis should be coded accordingly.
  • Double-check for any associated complications or conditions that should also be coded separately.

Medical Policies and Guidelines for Unspecified cirrhosis of liver

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