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  6. 2024 ICD-10-CM Code K76.82

2024 ICD-10-CM Diagnosis Code K76.82

Hepatic encephalopathy

ICD-10-CM Code:
K76.82
ICD-10 Code for:
Hepatic encephalopathy
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Diseases of the digestive system
    (K00–K95)
    • Diseases of liver
      (K70-K77)
      • Other diseases of liver
        (K76)

K76.82 is a billable diagnosis code used to specify a medical diagnosis of hepatic encephalopathy. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Hepatic coma
  • Hepatic coma due to hepatitis
  • Hepatic encephalopathy
  • Hepatic encephalopathy in fulminant hepatic failure
  • Hepatoencephalopathy due to combined oxidative phosphorylation defect type 1
  • Portal systemic encephalopathy

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Other nervous system disorders (neither hereditary nor degenerative)NVS020N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Other specified and unspecified liver diseaseDIG019Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Hepatic Encephalopathy

    a syndrome characterized by central nervous system dysfunction in association with liver failure, including portal-systemic shunts. clinical features include lethargy and confusion (frequently progressing to coma); asterixis; nystagmus, pathologic; brisk oculovestibular reflexes; decorticate and decerebrate posturing; muscle spasticity; and bilateral extensor plantar reflexes (see reflex, babinski). electroencephalography may demonstrate triphasic waves. (from adams et al., principles of neurology, 6th ed, pp1117-20; plum & posner, diagnosis of stupor and coma, 3rd ed, p222-5)

  • CDISC Clinical Classification West Haven Criteria Test Code Terminology|CC-West Haven Criteria TESTCD|WHEG01TC|West Haven Hepatic Encephalopathy Grade Clinical Classification Test Code

    test codes of clinical classification questions associated with the west haven hepatic encephalopathy grade (west haven criteria) for the clinical data interchange standards consortium (cdisc) study data tabulation model (sdtm).

  • CDISC Clinical Classification West Haven Criteria Test Name Terminology|CC-West Haven Criteria TEST|WHEG01TN|West Haven Hepatic Encephalopathy Grade Clinical Classification Test Name

    test names of clinical classification questions associated with the west haven hepatic encephalopathy grade (west haven criteria) for the clinical data interchange standards consortium (cdisc) study data tabulation model (sdtm).

  • CDISC SDTM West Haven Hepatic Encephalopathy Grade Terminology|HEPENCGR|SDTM-HEPENCGR|West Haven Hepatic Encephalopathy Grade

    terminology associated with the west haven hepatic encephalopathy grade codelist of the clinical data interchange standards consortium (cdisc) study data tabulation model (sdtm).

  • Hepatic Encephalopathy

    a constellation of signs and symptoms characterized by changes in personality, consciousness, and reflexes, resulting from neuropsychiatric abnormalities secondary to liver failure without evidence of other brain disease.

  • West Haven Criteria - West Haven Hepatic Encephalopathy Grade|WHEG01-WH Hepatic Encephalopathy Grade|WHEG01-WH Hepatic Encephalopathy Grade|WHEG0101

    west haven hepatic encephalopathy grade (west haven criteria) grade.

  • West Haven Hepatic Encephalopathy Grade 0|GRADE 0

    minimal - symptoms or pathological characteristics include minimal hepatic encephalopathy, lack of detectable changes in personality or behavior, minimal changes in memory, concentration and intellectual function, and absence of coordination asterixis. (adapted from: hepatic encephalopathy. david c wolf. http://emedicine.medscape.com/article/186101-overview)

  • West Haven Hepatic Encephalopathy Grade 1|GRADE 1

    mild - symptoms or pathological characteristics include trivial lack of awareness, shortened attention span, impaired ability to perform addition or subtraction, hypersomnia, insomnia, or inversion of sleep pattern, euphoria, depression or irritability, mild confusion, slowing of ability to perform mental tasks. (adapted from: hepatic encephalopathy. david c wolf. http://emedicine.medscape.com/article/186101-overview.)

  • West Haven Hepatic Encephalopathy Grade 2|GRADE 2

    moderate - symptoms or pathological characteristics include lethargy or apathy, disorientation, inappropriate behavior, slurred speech, obvious asterixis, drowsiness, lethargy, gross deficits in ability to perform mental tasks, obvious personality changes, inappropriate behavior, and intermittent disorientation, unsurely regarding time. (adapted from: hepatic encephalopathy. david c wolf. http://emedicine.medscape.com/article/186101-overview.)

  • West Haven Hepatic Encephalopathy Grade 3|GRADE 3

    severe - symptoms or pathological characteristics include somnolence with some arousability, inability to perform mental tasks, disorientation about time and place, marked confusion, amnesia, occasional fits of rage, present but incomprehensible speech. (adapted from: hepatic encephalopathy. david c wolf. http://emedicine.medscape.com/article/186101-overview.)

  • West Haven Hepatic Encephalopathy Grade 4|GRADE 4

    coma - symptoms or pathological characteristics include coma with or without response to painful stimuli. (adapted from: hepatic encephalopathy. david c wolf. http://emedicine.medscape.com/article/186101-overview.)

  • West Haven Hepatic Encephalopathy Grade Clinical Classification|WEST HAVEN HEPATIC ENCEPHALOPATHY GRADE|WHEG01|West Haven Criteria

    a standardized rating scale developed by blei and cordoba in 2001, which is a classification system used to describe the severity of hepatic encephalopathy based on the level of mental status and intellectual function. this instrument has 4 grades.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Hepatic encephalopathy, NOS
  • Hepatic encephalopathy without coma
  • Hepatocerebral intoxication
  • Portal-systemic encephalopathy

Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • underlying liver disease, such as:
  • acute and subacute hepatic failure without coma K72.00
  • alcoholic hepatic failure without coma K70.40
  • chronic hepatic failure without coma K72.10
  • hepatic failure with toxic liver disease without coma K71.10
  • hepatic failure without coma K72.90
  • icterus of newborn P55 P59
  • postprocedural hepatic failure K91.82
  • viral hepatitis without hepatic coma B15.9 B16.1 B16.9 B17.10 B19.10 B19.20 B19.9

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acute and subacute hepatic failure with coma K72.01
  • alcoholic hepatic failure with coma K70.41
  • chronic hepatic failure with coma K72.11
  • hepatic failure with coma K72.91

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Replacement Code

K7682 replaces the following previously assigned ICD-10-CM code(s):

  • K72.90 - Hepatic failure, unspecified without coma
  • K72.91 - Hepatic failure, unspecified with coma

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - Code Added, effective from 10/1/2022 through 9/30/2023

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.