Chapter XI

Diseases of the digestive system
(K00-K93)

Diseases of liver
(K70-K77)

Excludes: haemochromatosis ( E83.1 )
jaundice NOS ( R17 )
Reye's syndrome ( G93.7 )
viral hepatitis ( B15-B19 )
Wilson's disease ( E83.0 )

K70 Alcoholic liver disease
K70.0 Alcoholic fatty liver
K70.1 Alcoholic hepatitis
K70.2 Alcoholic fibrosis and sclerosis of liver
K70.3 Alcoholic cirrhosis of liver
Alcoholic cirrhosis NOS
K70.4 Alcoholic hepatic failure
Alcoholic hepatic failure:
· NOS
· acute
· chronic
· subacute
· with or without hepatic coma
K70.9 Alcoholic liver disease, unspecified

K71 Toxic liver disease
Includes: drug-induced:
· idiosyncratic (unpredictable) liver disease
· toxic (predictable) liver disease
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
Excludes: alcoholic liver disease ( K70.- )
Budd-Chiari syndrome ( I82.0 )
K71.0 Toxic liver disease with cholestasis

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Cholestasis with hepatocyte injury
Cholestatic jaundice due to drugs
"Pure" cholestasis
K71.1 Toxic liver disease with hepatic necrosis
Hepatic failure (acute)(chronic) due to drugs
K71.2 Toxic liver disease with acute hepatitis
K71.3 Toxic liver disease with chronic persistent hepatitis
K71.4 Toxic liver disease with chronic lobular hepatitis
K71.5 Toxic liver disease with chronic active hepatitis
Toxic liver disease with lupoid hepatitis
K71.6 Toxic liver disease with hepatitis, not elsewhere classified
K71.7 Toxic liver disease with fibrosis and cirrhosis of liver
K71.8 Toxic liver disease with other disorders of liver
Toxic liver disease with:
· focal nodular hyperplasia
· hepatic granulomas
· peliosis hepatis
· veno-occlusive disease of liver
K71.9 Toxic liver disease, unspecified

K72 Hepatic failure, not elsewhere classified
Includes: hepatic:
· coma NOS
· encephalopathy NOS
hepatitis:
· acute
· fulminant
· malignant
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NEC, with hepatic failure
liver (cell) necrosis with hepatic failure
yellow liver atrophy or dystrophy
Excludes: alcoholic hepatic failure ( K70.4 )
hepatic failure complicating:
· abortion or ectopic or molar pregnancy ( O00-O07 , O08.8 )
· pregnancy, childbirth and the puerperium ( O26.6 )
icterus of fetus and newborn ( P55-P59 )
viral hepatitis ( B15-B19 )
with toxic liver disease ( K71.1 )
K72.0 Acute and subacute hepatic failure
K72.1 Chronic hepatic failure
K72.9 Hepatic failure, unspecified

K73 Chronic hepatitis, not elsewhere classified
Excludes: hepatitis (chronic):
· alcoholic ( K70.1 )
· drug-induced ( K71.- )
· granulomatous NEC ( K75.3 )
· reactive, nonspecific ( K75.2 )
· viral ( B15-B19 )
K73.0 Chronic persistent hepatitis, not elsewhere classified
K73.1 Chronic lobular hepatitis, not elsewhere classified
K73.2 Chronic active hepatitis, not elsewhere classified
Lupoid hepatitis NEC
K73.8 Other chronic hepatitis, not elsewhere classified
K73.9 Chronic hepatitis, unspecified

K74 Fibrosis and cirrhosis of liver
Excludes: alcoholic fibrosis of liver ( K70.2 )
cardiac sclerosis of liver ( K76.1 )
cirrhosis (of liver):
· alcoholic ( K70.3 )
· congenital ( P78.8 )
with toxic liver disease ( K71.7 )
K74.0 Hepatic fibrosis
K74.1 Hepatic sclerosis
K74.2 Hepatic fibrosis with hepatic sclerosis
K74.3 Primary biliary cirrhosis
Chronic nonsuppurative destructive cholangitis
K74.4 Secondary biliary cirrhosis
K74.5 Biliary cirrhosis, unspecified
K74.6 Other and unspecified cirrhosis of liver
Cirrhosis (of liver):
· NOS
· cryptogenic
· macronodular
· micronodular
· mixed type
· portal
· postnecrotic

K75 Other inflammatory liver diseases
Excludes: chronic hepatitis NEC ( K73.- )
hepatitis:
· acute or subacute ( K72.0 )
· viral ( B15-B19 )
toxic liver disease ( K71.- )
K75.0 Abscess of liver
Hepatic abscess:
· NOS
· cholangitic
· haematogenic
· lymphogenic
· pylephlebitic
Excludes: amoebic liver abscess ( A06.4 )
cholangitis without liver abscess ( K83.0 )
pylephlebitis without liver abscess ( K75.1 )
K75.1 Phlebitis of portal vein
Pylephlebitis
Excludes: pylephlebitic liver abscess ( K75.0 )
K75.2 Nonspecific reactive hepatitis
K75.3 Granulomatous hepatitis, not elsewhere classified
K75.4 Autoimmune hepatitis
K75.8 Other specified inflammatory liver diseases
K75.9 Inflammatory liver disease, unspecified
Hepatitis NOS

K76 Other diseases of liver
Excludes: alcoholic liver disease ( K70.-)
amyloid degeneration of liver ( E85.-)
cystic disease of liver (congenital) ( Q44.6)
hepatic vein thrombosis ( I82.0)
hepatomegaly NOS ( R16.0)
portal vein thrombosis ( I81)
toxic liver disease ( K71.-)
K76.0 Fatty (change of) liver, not elsewhere classified
# Non-alcoholic steatoheptitis
K76.1 Chronic passive congestion of liver
Cardiac:
· cirrhosis (so-called)
· sclerosis
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of liver
K76.2 Central haemorrhagic necrosis of liver
Excludes: liver necrosis with hepatic failure ( K72.-)
K76.3 Infarction of liver
K76.4 Peliosis hepatis
Hepatic angiomatosis
K76.5 Hepatic veno-occlusive disease
Excludes: Budd-Chiari syndrome ( I82.0)
K76.6 Portal hypertension
K76.7 Hepatorenal syndrome
Excludes: following labour and delivery ( O90.4)
K76.8 Other specified diseases of liver
Focal nodular hyperplasia of liver
Hepatoptosis
K76.9 Liver disease, unspecified

K77** Liver disorders in diseases classified elsewhere
K77.0* Liver disorders in infectious and parasitic diseases classified elsewhere



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Hepatitis:
· cytomegaloviral ( B25.1+ )
· herpesviral [herpes simplex] ( B00.8+)
· salmonella (A02.9)
· scrup typhus (A75.3)
· toxoplasma ( B58.1+ )
Hepatosplenic schistosomiasis ( B65.-+ )
Portal hypertension in schistosomiasis ( B65.-+ )
Syphilitic liver disease ( A52.7+ )
K77.8* Liver disorders in other diseases classified elsewhere
Hepatic granulomas in:
· berylliosis ( J63.2+ )
· sarcoidosis ( D86.8+ )