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K76.0
ICD-10-CM
Steatosis

Learn about steatosis, including hepatic steatosis, fatty liver disease, NAFLD, and NASH diagnosis codes (ICD-10-CM K76.0, K75.81). Find information on clinical documentation requirements for steatosis grading, liver function tests (LFTs), and imaging studies. Explore resources for healthcare professionals on managing and coding steatosis, including alcoholic fatty liver disease and nonalcoholic fatty liver disease. Understand the difference between simple steatosis and steatohepatitis, along with relevant medical terminology and clinical guidelines for accurate diagnosis and treatment.

Also known as

Fatty Liver
Hepatic Steatosis
Nonalcoholic Fatty Liver Disease (NAFLD)

Diagnosis Snapshot

Key Facts
  • Definition : Fatty liver disease, buildup of excess fat in the liver.
  • Clinical Signs : Often asymptomatic, but can include fatigue, abdominal discomfort, and elevated liver enzymes.
  • Common Settings : Primary care, hepatology clinics, gastroenterology departments.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC K76.0 Coding
K75.8

Other specified diseases of liver

This code specifies other liver diseases, including steatosis.

K76.0

Fatty liver, not elsewhere classified

This code encompasses various fatty liver conditions like steatosis.

K70-K77

Diseases of liver

This range covers all liver diseases, including steatosis or fatty liver.

E88.8

Other disorders of mineral metabolism

Non-alcoholic fatty liver disease may be associated with metabolic disorders.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the steatosis alcoholic?

  • Yes

    Is fibrosis/cirrhosis present?

  • No

    Is it related to drug/toxin?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Fatty liver disease
Nonalcoholic fatty liver disease (NAFLD)
Nonalcoholic steatohepatitis (NASH)

Documentation Best Practices

Documentation Checklist
  • Steatosis diagnosis: Document imaging findings (ultrasound, CT, MRI).
  • Specify steatosis type (hepatic, non-alcoholic fatty liver disease).
  • Document severity (mild, moderate, severe) with supporting evidence.
  • Include relevant lab results (liver function tests, lipid panel).
  • Note associated conditions (diabetes, obesity, metabolic syndrome).

Coding and Audit Risks

Common Risks
  • Unspecified Steatosis

    Coding steatosis without specifying alcoholic vs. non-alcoholic impacts reimbursement and data accuracy. CDI should query for etiology.

  • Steatohepatitis Miscoding

    Confusing steatosis with steatohepatitis leads to incorrect coding and severity misrepresentation. CDI clarification is crucial.

  • Missing Co-morbidities

    Failing to code associated conditions like diabetes or obesity with steatosis impacts risk adjustment and resource allocation.

Mitigation Tips

Best Practices
  • ICD-10 K76.0, accurate coding for steatosis diagnosis.
  • CDI: Detail NAFLD severity, liver size in documentation.
  • HCC coding compliance: Capture comorbidities with steatosis.
  • Promote weight loss, healthy diet for steatosis management.
  • Screen for diabetes, treat if present for optimal outcomes.

Clinical Decision Support

Checklist
  • 1. Review ICD-10 K76.0 coding for steatosis documentation accuracy.
  • 2. ALT/AST levels checked? Document if elevated for NAFLD risk.
  • 3. Imaging (ultrasound/MRI) confirms fatty liver? Document findings.
  • 4. Exclude other liver disease causes (alcohol, hepatitis). Document.

Reimbursement and Quality Metrics

Impact Summary
  • Steatosis coding accuracy impacts reimbursement for NAFLD and NASH diagnoses.
  • Proper ICD-10-CM coding (K76.0) maximizes steatosis reimbursement.
  • Accurate steatosis diagnosis reporting improves hospital quality metrics.
  • Precise coding minimizes claim denials and optimizes hepatic steatosis revenue.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code K76.0 for simple steatosis
  • ICD-10 K75.8 for other steatosis
  • Document fat infiltration findings clearly
  • Specify alcoholic vs. nonalcoholic
  • Query physician if etiology unclear

Documentation Templates

Patient presents with suspected hepatic steatosis, also known as fatty liver disease.  Clinical findings suggestive of steatosis include elevated liver enzymes (ALT, AST), possible hepatomegaly on physical examination, and potential complaints of fatigue or right upper quadrant discomfort.  Patient denies significant alcohol consumption, minimizing the likelihood of alcoholic fatty liver disease.  Diagnostic workup may include abdominal ultrasound,  liver function tests (LFTs), and potentially further imaging such as MRI or CT scan to assess the degree of fatty infiltration and rule out other liver pathologies.  Differential diagnosis includes nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), and other causes of hepatomegaly.  Initial treatment plan focuses on lifestyle modifications including weight loss through diet and exercise, management of underlying metabolic conditions such as diabetes or hyperlipidemia, and avoidance of hepatotoxic medications.  Patient education provided regarding the importance of adherence to the treatment plan to prevent progression to more severe liver disease.  Follow-up scheduled to monitor liver enzyme levels and assess response to therapy.  ICD-10 code K76.0 will be considered for billing and coding purposes.