Liver is internal organ in human body which is located on the right side of your belly, under your ribs. The liver plays a vital role in the body as nutrients and trash pass through your digestive system; the liver separates them. It also produces bile, a chemical that eliminates toxins from the body and assists digestion. In the clinical context, chronic liver disease is a disease process of the liver that involves the progressive destruction and regeneration of the liver parenchyma, leading to fibrosis and cirrhosis. “Chronic liver disease” is a liver disease lasting at least six months. It encompasses a broader spectrum of liver illnesses such as chronic hepatitis, liver cirrhosis, and hepatocellular cancer.
Cirrhosis
Cirrhosis is a chronic (long-term) liver disease. It is a condition in which scar tissue replaces healthy liver tissue and prevents the liver from functioning normally.
Chronic liver disease causes
Following are the causes of chronic liver diseases.
- Alcoholism
- Viral infections such as hepatitis
- Fatty liver caused by obesity
- Cholesterol
- Use of specific medications
- Infections caused by parasites
- Exposure to hazardous chemicals
- Autoimmune disorders
and other factors can all lead to chronic liver disease.
Symptoms Of Cirrhosis
Depending on the severity of your cirrhosis, your symptoms may differ. Mild cirrhosis may not show any signs. Following are the symptoms of cirrhosis.
- Gallstones
- Itching
- Kidney failure
- Muscle loss
- Loss of appetite
- Easy bruising
- Spider-like veins in the skin
- Low energy and weakness (fatigue).
Diagnosis Of Cirrhosis
Chronic liver disease develops over time, and the condition may go undetected unless there is clinical awareness of mild symptoms and evaluation of abnormal liver function tests. Your clinician will also recommend one or more tests to diagnose and determine the cause of liver disease accurately. These could include:
Blood Tests: These will include liver function tests to see whether the liver is functioning correctly. You may also be tested to check if your blood can clot. Abnormal levels may indicate liver function disorders.
Liver Biopsy: Your clinician will use a fine needle to extract a small sample of liver tissue during a liver biopsy. They examine the tissue for symptoms of liver disease.
CT Scan (computed tomography): This is an imaging test that makes detailed images of the body using X-rays and a computer. A CT scan provides information about the bones, muscles, and organs.
Ultrasound: This displays your inside organs in action. It examines how blood flows across various blood arteries. It creates images of blood arteries, tissues, and organs using high-frequency sound waves and a computer.
MRI (magnetic resonance imaging): This examination produces detailed images of organs and structures throughout your body. It employs a magnetic field as well as radio wave energy bursts. A dye may be injected (shot) into your vein. The stain enhances the visibility of the liver and other organs on the scan.
Treatment Of Liver Disease
The underlying cause determines the therapy of chronic liver disease. Cirrhosis is a chronic liver disease that worsens with time. When the trigger, such as stopping consuming alcohol, or the virus, is removed, the damage to your liver can sometimes be reversed or improved.
Your treatment may cover the following:
- Eating a healthy, low-sodium diet
- Exclusion of alcohol or illicit drugs
- Addressing any health issues that arise as a result of cirrhosis
In many circumstances, you may be able to postpone or prevent further liver damage. Hepatitis can be treated to slow the progression of liver damage.
Infection, an inherited illness, cancer, or an overdose of harmful substances can cause liver disease. Healthcare practitioners can effectively treat many types of liver disease through medication or lifestyle changes. A liver transplant may help you recover and live longer if you have severe liver disease.
Chronic Liver Disease ICD-10 Codes
Chronic liver disease is categorized into the following types.
- Alcoholic liver disease
- Toxic liver disease
- Hepatic failure
- Chronic hepatitis
- Fibrosis
- Liver cirrhosis.
Alcoholic Liver Disease
| S.No | ICD-10 Code | Description |
| 1 | K70.0 | This code deals with the Alcoholic fatty liver. |
| 2 | K70.1 | Alcoholic hepatitis |
| 3 | K70.2 | Alcoholic fibrosis and sclerosis of the liver |
| 4 | K70.3 | Alcoholic cirrhosis of the liver |
| 5 | K70.4 | Alcoholic hepatic failure |
| 6 | K70.9 | Unspecified alcoholic liver disease |
Toxic liver disease
| S.No | ICD-10 Code | Description |
| 1 | K71.0 | Toxic liver disease associated with cholestasis |
| 2 | K71.1 | Toxic liver disease with necrosis of the liver |
| 3 | K71.2 | Acute hepatitis is caused by toxic liver disease. |
| 4 | K71.3 | Toxic liver disease accompanied by chronic persistent hepatitis. |
| 5 | K71.4 | Toxic liver disease with chronic lobular hepatitis |
| 6 | K71.5 | Toxic liver disease with chronic active hepatitis |
| 7 | K71.6 | Toxic liver disease with hepatitis. |
| 8 | K71.7 | Toxic liver disease with fibrosis and cirrhosis of the liver |
| 9 | K71.8 | Harmful liver disease with other disorders of the liver |
| 10 | K71.9 | Toxic liver disease, unspecified |
Hepatic Failure
| S.No | ICD-10 Code | Description |
| 1 | K72.0 | Hepatic failure, both acute and sub-acute |
| 2 | K72.1 | Chronic hepatic failure |
| 3 | K72.9 | Unspecified hepatic failure |
Chronic Hepatitis
| S.No | ICD-10 Code | Description |
| 1 | K73.0 | Chronic persistent hepatitis |
| 2 | K73.1 | Chronic lobular hepatitis that has not been classified elsewhere |
| 3 | K73.2 | Chronic active hepatitis is not elsewhere classified. |
| 4 | K73.8 | Other chronic hepatitis that has not been classified elsewhere |
| 5 | K73.9 | Unspecified chronic hepatitis |
Fibrosis And Cirrhosis Of Liver
| S.No | ICD-10 Code | Description |
| 1 | K74.0 | Fibrosis of the liver. |
| 2 | K74.1 | Sclerosis of the liver |
| 3 | K74.2 | Hepatic fibrosis associated with hepatic sclerosis |
| 4 | K74.3 | Cirrhosis of the bile duct |
| 5 | K74.4 | Secondary biliary cirrhosis |
| 6 | K74.5 | Unspecified biliary cirrhosis |
| 7 | K74.6 | Other and unidentified liver cirrhosis |
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