Patient presents with symptoms consistent with liver failure (hepatic failure, end-stage liver disease, ESLD).  Presenting complaints include jaundice, ascites, hepatic encephalopathy, and fatigue.  Physical examination reveals scleral icterus, abdominal distension with shifting dullness suggestive of ascites, and asterixis.  Patient reports a history of [Insert underlying cause e.g., cirrhosis, hepatitis C, alcoholic liver disease, nonalcoholic fatty liver disease (NAFLD), autoimmune hepatitis, drug-induced liver injury, etc.].  Laboratory findings demonstrate elevated liver enzymes (AST, ALT, ALP), bilirubin (direct and indirect), prolonged prothrombin time (PT) and international normalized ratio (INR), decreased albumin, and elevated ammonia levels.  Diagnostic imaging, including abdominal ultrasound, CT scan, or MRI, may be indicated to assess liver morphology and rule out other contributing factors.  Diagnosis of liver failure is based on clinical presentation, laboratory data, and imaging findings.  Treatment plan includes management of complications such as hepatic encephalopathy, ascites, and variceal bleeding.  Nutritional support, including a low-sodium diet and vitamin supplementation, is indicated.  Pharmacological interventions may include lactulose for hepatic encephalopathy and diuretics for ascites.  Referral for liver transplantation evaluation will be considered based on disease severity and eligibility criteria.  Patient education regarding disease progression, prognosis, and treatment options was provided.  Follow-up appointments are scheduled for monitoring of liver function and management of complications.  ICD-10 code K72.9 (Liver failure, unspecified) and relevant procedure codes will be documented for medical billing and coding purposes.