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Guidelines For Chronic Liver Disease

July 6, 2022 by Aamir247 Leave a Comment

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.

Guidelines For Chronic Liver Disease

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.NoICD-10 CodeDescription
1K70.0This code deals with the Alcoholic fatty liver.
2K70.1Alcoholic hepatitis
3K70.2Alcoholic fibrosis and sclerosis of the liver
4K70.3Alcoholic cirrhosis of the liver
5K70.4Alcoholic hepatic failure
6K70.9Unspecified alcoholic liver disease

Toxic liver disease

S.NoICD-10 CodeDescription
1K71.0Toxic liver disease associated with cholestasis
2K71.1Toxic liver disease with necrosis of the liver
3K71.2Acute hepatitis is caused by toxic liver disease.
4K71.3Toxic liver disease accompanied by chronic persistent hepatitis.
5K71.4Toxic liver disease with chronic lobular hepatitis
6K71.5Toxic liver disease with chronic active hepatitis
7K71.6Toxic liver disease with hepatitis.
8K71.7Toxic liver disease with fibrosis and cirrhosis of the liver
9K71.8Harmful liver disease with other disorders of the liver
10K71.9Toxic liver disease, unspecified

Hepatic Failure

S.NoICD-10 CodeDescription
1K72.0Hepatic failure, both acute and sub-acute
2K72.1Chronic hepatic failure
3K72.9Unspecified hepatic failure

Chronic Hepatitis

S.NoICD-10 CodeDescription
1K73.0Chronic persistent hepatitis
2K73.1Chronic lobular hepatitis that has not been classified elsewhere
3K73.2Chronic active hepatitis is not elsewhere classified.
4K73.8Other chronic hepatitis that has not been classified elsewhere
5K73.9Unspecified chronic hepatitis

Fibrosis And Cirrhosis Of Liver

S.NoICD-10 CodeDescription
1K74.0Fibrosis of the liver.
2K74.1Sclerosis of the liver
3K74.2Hepatic fibrosis associated with hepatic sclerosis
4K74.3Cirrhosis of the bile duct
5K74.4Secondary biliary cirrhosis
6K74.5Unspecified biliary cirrhosis
7K74.6Other and unidentified liver cirrhosis

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