ICD CODES

ICD Code K76.0

ICD code K76.0 is used to classify a fatty liver condition that doesn't fit into other specific categories.

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What is ICD diagnosis code K76.0

ICD code K76.0 is a classification used to identify a condition known as fatty liver, which is not specified under other categories. This condition involves the accumulation of excess fat in the liver cells, which can occur without significant alcohol consumption. It is often associated with metabolic syndrome, obesity, diabetes, and other health issues. The code helps healthcare providers document and track this specific liver condition for treatment and billing purposes.

When to use ICD code K76.0

1. Presence of Hepatic Steatosis: The primary criterion for using this ICD code is the presence of hepatic steatosis, which is identified through imaging studies such as ultrasound, CT scan, or MRI, showing fat accumulation in the liver.

2. Absence of Significant Alcohol Consumption: The diagnosis should be considered when there is little to no history of significant alcohol consumption, typically defined as less than 20 grams per day for women and less than 30 grams per day for men.

3. Exclusion of Other Causes of Liver Fat Accumulation: Other potential causes of liver fat accumulation, such as viral hepatitis, autoimmune liver disease, or medication-induced liver disease, should be ruled out through appropriate testing and clinical evaluation.

4. Elevated Liver Enzymes: Patients may present with mildly elevated liver enzymes, such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), although normal enzyme levels do not exclude the diagnosis.

5. Metabolic Risk Factors: The presence of metabolic risk factors such as obesity, type 2 diabetes, dyslipidemia, or metabolic syndrome can support the use of this code, as these conditions are commonly associated with fatty liver changes.

6. Histological Confirmation (if available): In some cases, a liver biopsy may be performed to confirm the diagnosis, showing macrovesicular steatosis without significant inflammation or fibrosis.

7. Absence of Cirrhosis: The diagnosis should be used when there is no evidence of cirrhosis, as the code specifically pertains to fatty liver changes not classified elsewhere.

Billable CPT codes for ICD code K76.0

For the ICD code K76.0, which pertains to fatty liver, not elsewhere classified, the relevant CPT codes that may be applicable for treatment or management include:

1. CPT 80061 - Lipid panel: This test may be ordered to assess lipid levels, which can be relevant in managing liver conditions.

2. CPT 83036 - Hemoglobin A1c: This test can be used to monitor blood sugar levels, which may be relevant in the context of metabolic conditions associated with fatty liver.

3. CPT 84478 - Triglycerides: This test measures triglyceride levels, which can be an important factor in the management of fatty liver.

4. CPT 76705 - Ultrasound, abdominal, limited: This imaging test can be used to assess the liver and diagnose fatty liver changes.

5. CPT 47562 - Laparoscopy, surgical; cholecystectomy: While not directly treating fatty liver, this procedure may be relevant if gallbladder issues are also present.

6. CPT 99401 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (approximately 15 minutes): Counseling may be provided to address lifestyle changes that can impact liver health.

These CPT codes are examples of procedures and tests that may be relevant in the context of managing or diagnosing conditions associated with ICD code K76.0. It's important for healthcare providers to select the appropriate CPT codes based on the specific clinical scenario and patient needs.

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