2027 ICD-10-CM Diagnosis Code K71.3Toxic liver disease with chronic persistent hepatitis
ICD-10-CM Codes›K00–K95›K70-K77›K71
- Billable — Valid for Submission
- Risk Adjusts — HCC 65
- Chronic Condition
K71.3 is a billable ICD-10-CM diagnosis code for toxic liver disease with chronic persistent hepatitis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 441 through 443, 791, 793. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Drug induced or toxic related condition and Noninfectious hepatitis.
For Medicare Advantage risk adjustment, K71.3 maps to CMS-HCC Category 65 (Chronic Hepatitis) under the V28 model, adding a risk factor of about 0.185 for a community, non-dual, aged beneficiary in payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
K71.3 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to K71.3: its own notes plus those printed at K71, block K70-K77, and Chapter 11. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- drug-induced idiosyncratic (unpredictable) liver disease
- drug-induced toxic (predictable) liver disease
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- jaundice NOS (R17)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- 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)
Code First
The underlying condition named in the note is sequenced before this code.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name K71.3, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming K71.3: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 2
These codes carry an Excludes2 note naming K71.3: its condition is not part of those codes, and both may be reported when the patient has both.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
in liver disease K71.3
Disease, diseased See Also: Syndrome;
Flap, liver K71.3
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Hepatitis
Hepatitis is inflammation of the liver. Inflammation is swelling that happens when tissues of the body are injured or infected. It can damage your liver. This swelling and damage can affect how well your liver functions.
The full article covers:
- What is hepatitis?
- What causes hepatitis?
- How is viral hepatitis spread?
- Who is at risk for hepatitis?
- What are the symptoms of hepatitis?
- What other problems can hepatitis cause?
- How is hepatitis diagnosed?
- What are the treatments for hepatitis?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert K71.3 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About K71.3Overview
What is the ICD-10 code for toxic liver disease with chronic persistent hepatitis?
The ICD-10-CM code for toxic liver disease with chronic persistent hepatitis is K71.3 (sometimes written as K713). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is K71.3 (Toxic liver disease) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic liver disease with chronic persistent hepatitis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does K71.3 group to?
When toxic liver disease with chronic persistent hepatitis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 442, 441, 443, with relative weights from 0.6890 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.
Can K71.3 be reported with R17?
Not as a rule. The Excludes1 note at block K70-K77, which applies to K71.3, lists "jaundice NOS (R17)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
Does K71.3 need an additional code?
When the condition applies, yes. The Use Additional Code note at K71, which applies to K71.3, reads: code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5). The additional code is reported after K71.3.
What HCC is K71.3?
K71.3 (toxic liver disease with chronic persistent hepatitis) maps to CMS-HCC Category 65 (Chronic Hepatitis), commonly written as HCC 65, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It does not map to any RxHCC in the Part D prescription drug model.
Does K71.3 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, K71.3 adds a risk adjustment factor of about 0.185 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.101 to 0.378 depending on the payment segment). A more severe related category (HCC 62, HCC 63, and HCC 64) supersedes it when both are reported. See the full factor table on the HCC 65 category page.
