K72.90

Hepatic failure, unspecified without coma

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC63

Chronic Liver Failure/End-Stage Liver Disorders

CMS-HCC ESRD V24

HCC27

End-Stage Liver Disease

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from K72Hepatic failure, not elsewhere classified

Includes

fulminant hepatitis NEC, with hepatic failure liver (cell) necrosis with hepatic failure malignant hepatitis NEC, with hepatic failure yellow liver atrophy or dystrophy

Excludes 1

alcoholic hepatic failure (K70.4) hepatic failure with toxic liver disease (K71.1-) icterus of newborn (P55-P59) postprocedural hepatic failure (K91.82)

Excludes 2

hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8) hepatic failure complicating pregnancy, childbirth and the puerperium (O26.6-) viral hepatitis with hepatic coma (B15-B19)

Use additional

code, if applicable, for ascites (R18.8)

Inherited from K70-K77Diseases of liver

Excludes 1

jaundice NOS (R17)

Excludes 2

hemochromatosis (E83.11-) Reye's syndrome (G93.7) viral hepatitis (B15-B19) Wilson's disease (E83.01)

Inherited from chapter 11Diseases of the digestive system

Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Official Guidelines for K72.90

FY 2026 ›

I.C.11Chapter-specific guidanceChapter 11: Diseases of the Digestive System (K00-K95)

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