Chronic hepatic failure without coma

This code signifies a long-standing, progressive decline in liver function that is not accompanied by encephalopathy or altered mental status. It indicates significant liver damage that has developed over time, impairing the liver's ability to perform its essential metabolic and synthetic functions.

Apply this code when documentation clearly indicates chronic liver failure without any mention of hepatic encephalopathy. This is appropriate for patients with end-stage liver disease, cirrhosis, or other chronic liver conditions leading to functional decline, but who remain alert and oriented.

• Always verify the absence of hepatic coma or encephalopathy; if present, a more specific code is required.
• Code any underlying cause of the chronic hepatic failure (e.g., alcoholic cirrhosis, viral hepatitis) as an additional diagnosis.
• Distinguish from acute hepatic failure, which has a rapid onset and different coding pathways.