Hepatic encephalopathy (HE) is a specific type of encephalopathy that occurs when liver disease causes toxins to build up in the patients blood. The 2022 edition of ICD-10-CM K72. Healthcare Cost and Utilization Project. WebThere are three types of hepatic encephalopathy: Type A is brought on by acute liver failure (without underlying chronic liver disease). AHA Coding Clinic for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor Hepatic Encephalopathy We were given advice to assign a code for hepatic official website and that any information you provide is encrypted The best possible outcome is to possibly prevent further damage. Hepatic encephalopathy is associated with persistent learning impairments despite adequate medical treatment: a multicenter, international study. The better we match the diagnostic code to the therapy and the tests that we're doing and the educational support that we're getting, the more comprehensive it's going to be for the patient in front of us, Reau said. Hepatic failure, unspecified with coma K72. In this report, Salix highlighted survey results from 400 total community-based gastroenterologists, institution-based specialists, primary care physicians, nurse practitioners, and physician assistants, who answered questions relating to coding issues. The patients medical record should stand alone as the accurate story of the patients encounter and provide the whole story/full picture of the patients illness and treatments provided. Get timely coding industry updates, webinar notices, product discounts and special offers. We now have a new code, K76.82 for Hepatic encephalopathy. Static encephalopathy is an altered mental state or brain damage that is permanent. 2020 Sep;7(1):e000485. Bloated abdomen. Adding this code will help to finally show the specific diagnosis, however it does not impact payment. 11. These 2023 ICD-10-CM codes are to be used for discharges occurring from October 1, 2022 through September 30, 2023 and for patient encounters occurring from October 1, 2022 through September 30, 2023. - Studybuff. In the opinion of the ACDIS Advisory Board members, is it compliant to code the Hepatitis C as with encephalopathy? Web. Even when we do all the right things, this diagnosis is still one of the most common reasons for denials. ICD-9-CM 572.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, 10. We aim to provide a wide range of injection molding services and products ranging from complete molding project management customized to your needs. Accessibility 3 This is the American ICD-10-CM version of G93.6 other international versions of ICD-10 G93.6 may differ. BMJ Open Gastroenterol. ICD-10-CM Diagnosis Code G93.4 Other and unspecified encephalopathy alcoholic encephalopathy (G31.2); encephalopathy in diseases classified elsewhere (G94); hypertensive encephalopathy (I67.4); toxic (metabolic) encephalopathy (G92) ICD-10-CM Diagnosis Code G92 [convert to ICD-9-CM] This is the American ICD-10-CM version of K76.82 - other international versions of ICD-10 K76.82 may differ. Tapper EB, Henderson JB, Parikh ND, Ioannou GN, Lok AS. AHA Coding Clinic for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Clarifications Toxic Metabolic Encephalopathy due to Hepatic Encephalopathy Coding 9. J Assoc Physicians India. I. icd 10 code for hepatic encephalopathydelpark homes sutton icd 10 code for hepatic encephalopathy. These issues, as well as a patients inability to pay out-of-pocket costs and/or lack of insurance coverage, are the most frequent barriers for patients to receive treatment and prescription fulfillment for liver disease after hospital discharge. Salix Pharmaceuticals does not possess editorial control over the content of the information on such website(s) and therefore does not warrant their accuracy and completeness. Epub 2018 Jun 19. Thank you for choosing Find-A-Code, please Sign In to remove ads. Complications of Cirrhosis in Primary Care: Recognition and Management of Hepatic Encephalopathy. No charge. One would not consider coding acute pulmonary edema or acute CHF in an ESRD patient is who stable and compliant with their treatment regime. Hepatic encephalopathy in chronic liver disease: 2014 practice guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver. 1980;13(2):177-191. Prior to the publication of K76.82, providers said they used the following codes to classify HE regimens: According to the report, use of these different codes may have caused issues with treatment reimbursement and follow-up upon transition of care. doi: 10.1136/bmjgast-2020-000485. Cerebral edema 1 G93.6 is a billable/specific ICD-10-CM code that can be used to Glucagon-Like Peptide-1 Receptor Agonists and Hepatic Decompensation Events in Patients With Cirrhosis and Diabetes. Symptoms are nonspecific and vary from individual to individual, from one infectious agent to another, and, most consistently, with the age of the individual at the time of infection. The new K76.82 diagnosis code for patients with HE, a complication of cirrhosis, is based on the International Classification of Diseases, 10th Revision, Clinical Enjoy a guided tour of FindACode's many features and tools. The code is valid during the fiscal year 2023 from October 01, 2022 Validation of ICD-9-CM/ICD-10 coding algorithms for the identification of patients with acetaminophen overdose and hepatotoxicity using administrative data. WebWhat Is The Icd 10 Code For Hepatic Steatosis? WebEncephalopathy ICD 10 coding is easy with our guidelines. 0 Fatty (change of) liver, not elsewhere classified (non-alcoholic fatty liver disease). Herein, we validate a diagnostic coding algorithm for HE using ICD-10 and medication records. Hepatic encephalopathy/coma is included in the code for the viral hepatitis (see AHACoding Clinic for ICD-9-CM, 2007, 2ndQuarter, p. 67 to 1. 2020 Salix Pharmaceuticals or its affiliates. In an interview withThe American Journal of Managed Care(AJMC),Nancy Reau, MD, section chief of hepatology at Rush University Medical Center, talked about why establishing an ICD-10 code for a specific liver condition rather than having one code encompassing all liver conditions is necessary. Cerebral edema 1 G93.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Persistence of cognitive impairment after resolution of overt hepatic encephalopathy. WebIn the ICD-10-AM, two codes may be used to record NAFLD/NASH: K75.8 Other specified inflammatory liver diseases (non-alcoholic steatohepatitis) and K76. The multi-dimensional burden of cirrhosis and hepatic encephalopathy on patients and caregivers. WebICD-10-CM Diagnosis Code G04.31 [convert to ICD-9-CM] Postinfectious acute necrotizing hemorrhagic encephalopathy Acute postinfectious necrotizing hemorrhagic WebICD-10: K72 - Hepatic failure, not elsewhere classified Chapter 11 Section K70-K77 K72 ICD-10 Not billable Hepatic failure, not elsewhere classified Show additional info K72 is a "category code," which means it's non-billable. A systematic review of validated methods for identifying patients with rheumatoid arthritis using administrative or claims data. Hepatic encephalopathy Hepatitis with hepatic coma ICD-10-CM K72.91 is grouped within Diagnostic Related Group (s) (MS-DRG v40.0): 441 Disorders of liver Hepatic encephalopathy (HE) (ICD)-10 codes using the VA Corporate Data Warehouse. Cancel anytime. Published by Elsevier Inc. All rights reserved. Medicaid expansion deal proposed in North Carolina; FDA gains new leverage over quick drug approvals; Walgreens announces it will not dispense abortion pills in several states where its legal. Learn how to get the most out of your subscription. View all the articles associated with any code, right from the code page. Dose adjustment of warfarin may be required. Reau also discussed the effects of the new ICD-10 code for HE, noting this updated code allows for more simplified prior authorization. Incidence rates of health care-associated Clostridioides difficile infection were 3 times higher in patients with COVID-19 than those without coronavirus infection in a Serbian hospital. This is a Recovery Auditor target. The .gov means its official. Other encephalopathy is reported when the documentation supports that the encephalopathy XIFI.0404.USA.18 (v7.0), CALIFORNIA RESIDENTS: DO NOT SELL MY PERSONAL INFORMATION, *ICD-10. doi: 10.1016/j.cgh.2021.07.010. Research methodologies to address clinical unmet needs and challenges in alcohol-associated liver disease. The 2023 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2023. 2014;60(2):715-735. Even when the cause is known, such as metabolic issues, the physician should be specific with the documentation. Vince AJ, Burridge SM. This will make it much easier for an auditor to follow the treatment and or monitoring that is being given for the diagnosis of encephalopathy. All content is provided AS IS. Unfortunately, the switch to ICD-10 in 2015 rendered algorithms validated using ICD-9 invalid. https://www.hcup-us.ahrq.gov/nrdoverview.jsp. The information contained in this coding advice is valid at the time of posting. 90) and cirrhosis (K74. a liver disease K code plus G93.40 or G93.50. ReferencesICD-10-CM/PCS Coding Clinic, Second Quarter 2016 Pages: 3-4, 35ICD-10-CM/PCS Coding Clinic, Third Quarter 2015 Page: 21ICD-10-CM/PCS Coding Clinic, Third Quarter 2016 Page: 42ICD-10-CM/PCS Coding Clinic, Fourth Quarter 2013 Pages: 89-90ICD-10-CM/PCS Coding Clinic, Second Quarter 2017 Pages: 8-9ICD-10-CM/PCS Coding Clinic, First Quarter 2017 Pages: 39-41ICD-10-CM/PCS Coding Clinic, Second Quarter 2018 Pages: 22, 24-25ICD-10-CM/PCS Coding Clinic, Fourth Quarter 2017 Pages: 98-99ICD-10-CM/PCS Coding Clinic, Fourth Quarter 2018 Page: 16ICD-10-CM/PCS Coding Clinic, First Quarter 2021 Page: 13https://www.journal.ahima.org/documenting-acute-encephalopathy-in-covid-19-patients/https://www.medicinenet.com/encephalopathy/article.htmhttps://www.ninds.nih.gov/Disorders/All-Disorders/Encephalopathy-Information-Pagehttps://www.hopkinsallchildrens.org/patients-families/health-library/healthdocnew/A-to-Z-Encephalopathyhttps://www.brainfacts.org/diseases-and-disorders/neurolgical-disorders-az/diseases-a-to-z-from-ninds/encephalopathyICD-10-CM Official Guidelines for Coding and Reporting FY 2021. 2021 Mar;19 (3):604-606.e1. Coding for a chronic condition that is under control with treatment, etc., is one thing (i.e., end-stage renal disease [ESRD], congestive heart failure [CHF], etc.). AASLD = American Association for the Study of Liver Diseases, Up to 80% of patients with cirrhosis will develop HE, ranging from minimal to overt1,11, Align with the Guidelinesfor patients at risk. The 2023 edition of ICD-10-CM G93.40 became To report SUSPECTED ADVERSE REACTIONS, contact Salix Pharmaceuticals at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. See our privacy policy. HE = hepatic encephalopathy AASLD = American Association for the Study of Liver Diseases X Get information regarding XIFAXAN Speak with a XIFAXAN representative As we navigate this post-pandemic way of life, the only constant is change. FOIA Overview of the Nationwide Readmissions Database (NRD). Evaluating Risk Factors for Clostridioides difficile Infection Among Hospitalized Patients With COVID-19. These are either for missed queries or for clinical validation. Am J Gastroenterol. The 2022 edition of ICD-10-CM G93.6 became effective on October 1, 2021. XIFAXAN is contraindicated in patients with a hypersensitivity to rifaximin, rifamycin antimicrobial agents, or any of the components in XIFAXAN. Furnel, Inc. has been successfully implementing this policy through honesty, integrity, and continuous improvement. 91 became effective on October 1, 2021. Bajaj JS, Schubert CM, Heuman DM, et al. R41.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. J Hepatol. Hepatic encephalopathy (HE) is a brain dysfunction caused by liver insufficiency and/or portosystemic shunting.1 In patients with cirrhosis and decreased hepatic function, toxins from the gut can enter the bloodstream and reach the brain, where they affect neurotransmission.1-3 This can cause episodes of HE, which may present as alterations in consciousness, cognition, and behavior that range from minimal to severe.1-3. Use the list below to navigate to codes that are more specific: 10 K72.0 Dig Dis Sci. Q:What are the pros/cons of coding hepatic encephalopathy as a secondary condition? A type 1 excludes note is a pure excludes. ICD-10 data provided by CMS (Centers for Medicare & Medicaid Services). Overt Hepatic Encephalopathy (HE) | XIFAXAN HCP About HE Diagnosis Efficacy Safety & dosing Access & Savings Resources XIFAXAN is indicated for the reduction in risk of OHE recurrence in adults. Building Community-Level Solutions to Address Health Disparities: A Q&A With Dr Joneigh Khaldun. In patients with hepatic impairment, a potential additive effect of reduced metabolism and concomitant P-gp inhibitors may further increase the systemic exposure to rifaximin. and transmitted securely. Here are some of the most common treatments: There is one type of encephalopathy that cannot be reversed. To permit correct delirium due to hepatic encephalopathy). Monitor INR and prothrombin time. Furthermore, there is no index entry for chronic hepatic encephalopathy, and clinically Im not sure such a condition exists. Thank you for visiting the XIFAXAN Professional website. AHA Coding Clinic for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor Hepatic Encephalopathy We were given advice to assign a code for Clinical Documentation Integrity (CDI) should be getting specific clarification from the physician when only encephalopathy is documented. Am J Med Sci. The ICD code K74 is used to code Cirrhosis Cirrhosis is a condition in which the liver does not function properly due to long-term damage. Incidence of medication problems and their harm potential following hospital discharge among pediatric patients with epilepsy were not significantly different for individuals who received discharge medication education and those who did not. We NEVER sell or give your information to anyone. ICD-10-CM K76.82 is a new 2023 ICD-10-CM code that became effective on October 1, 2022. Mental Health Care Is Challenged by Inaccurate, Inadequate Provider Directories. 2007 Oct 2;7:159. doi: 10.1186/1472-6963-7-159. Of the 71,552 veterans with cirrhosis, 5647 (7.89%) developed dementia. He and his co-investigators looked at the accuracy of directories of psychiatrists and nonphysician mental health providers for all plans regulated by the California Department of Managed Health Care in 2018 and 2019. Hepatology. encephalopathy in diseases classified elsewhere ( ICD-10-CM Diagnosis Code G94. Of the 71,552 veterans with cirrhosis, 5647 (7.89%) developed dementia. Even with the documentation and queries sent for clarification of the diagnosis of encephalopathy, denials are still coming in. | Bridgewater, NJ 08807. WebHepatic failure, not elsewhere classified ICD-10-CM K72 https://icd10coded.com/cm/K72/ Includes: fulminant hepatitis NEC, with hepatic failure, hepatic encephalopathy NOS, Donald Butler:Although I find the logic of the question very seductive, Ive finally realized how to perhaps express why I have not been comfortable with this concept for a while. Hepatic failure, unspecified with coma 1 K72.91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM K72.91 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of K72.91 - other international versions of ICD-10 K72.91 may differ. . Degeneration of nervous system due to alcohol. More than half of the 400 providers surveyed said they previously used code G93.40 or G93.49 most often. At Furnel, Inc. we understand that your projects deserve significant time and dedication to meet our highest standard of quality and commitment. The nuanced difference for me on this particular item is that coding the hepatic encephalopathy would be capturing the acute manifestation of the chronic problem (i.e., the underlying liver disease) that is not currently present but which the patient had previously. Encephalopathy is not considered inherent in acute cerebrovascular accident/stroke and should be reported as an additional diagnosis when documented and Please enable it to take advantage of the complete set of features! Federal government websites often end in .gov or .mil. WebWhat is the latest version of ICD-10? Therefore, G92 Toxic encephalopathy is the correct code to report for the diagnosis toxic metabolic encephalopathy even though the term metabolic is not in the description for code G92. sharing sensitive information, make sure youre on a federal Please click here for full Prescribing Information. XIFAXAN (rifaximin) 550 mg tablets are indicated for the reduction in risk of overt hepatic encephalopathy (HE) recurrence in adults and for the treatment of irritable bowel syndrome with diarrhea (IBS-D) in adults. NAFLD/NASH cirrhosis may also attract It is NOT a CC or MCC, however. 2011;106(9):1646-1653. 2016;2016:6741754. WebToday we will look at how, despite the fact you may not consume alcohol, you can in fact get cirrhosis. Cerebral edema 1 G93.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-AM codes for cirrhosis and related complications: key performance considerations for population and healthcare studies. The site is secure. We offer full engineering support and work with the best and most updated software programs for design SolidWorks and Mastercam. The 2018/2019 edition of ICD-10-CM R41.82 became effective on October 1, 2018. An official website of the United States government. Liver Transpl. 90) and cirrhosis (K74. 2001;96(9):2718-2723. Sometimes, we find ourselves wanting to scream! Hepatic encephalopathy/coma is included in the code for the viral hepatitis. Accessed January 10, 2019. Postinfectious acute necrotizing hemorrhagic, Influenza due to other identified influenza virus with, Influenza due to unidentified influenza virus with, Postimmunization acute necrotizing hemorrhagic, underlying liver disease, such as:; acute and subacute, Acute postinfectious necrotizing hemorrhagic, Influenza due to oth ident influenza virus w, Flu due to unidentified influenza virus w, Inflammation of spinal cord due to toxin; Toxic, poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4 or 6); Toxic, acute and subacute hepatic failure without coma (, hepatic failure with toxic liver disease without coma (, acute and subacute hepatic failure with coma (, encephalopathy in diseases classified elsewhere (, poisoning due to drug or toxin, if applicable, (, code for adverse effect, if applicable, to identify drug (, acute disseminated encephalitis and encephalomyelitis (. K72.90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 6. Advise pregnant women of the potential risk to a fetus. K76.82. AHA Coding Clinic for ICD-10-CM and ICD-10-PCS - 2022 Issue 4; New/Revised ICD-10-CM Codes Hepatic Encephalopathy Subcategory K76.8, Other 2009;137(3):885-891. doi: 10.1016/j.cgh.2019.12.017. G93.40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 60 ICD-10 code K74. Hepatic encephalopathy. WebICD-10-CM Diagnosis Code K76.82. Hepatol Commun. Epub 2021 Aug 7. 2022 Apr;75(4):1026-1037. doi: 10.1002/hep.32143. NPI Look-Up Tool (National Provider Identifier), The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice, ALL years/issues back to 1984 organized by year and issue, Includes ICD-10-CM/PCS Articles since 2013, Fullysearchablethrough Find-A-Code's Comprehensive Search, Codes mentioned in articles are linked to Code Information pages, Code Information pages link back to related articles. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Bookshelf Intervene before overt hepatic encephalopathy (OHE) strikes again What can you do to reduce your patients' risk of This month, Salix Pharmaceuticals released the 2nd edition of theSalix Liver Health Annual Trends Report. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis code K76.82, took effect October 1, 2022. 2016 2017 2018 2019 Billable/Specific Code. Some facilities may have a physician liaison that can help with the records that lack clinical supporting documentation. Am J Gastroenterol. J Med Microbiol. WebFAQ icd 10 code for encephalopathy What is the ICD 10 code for cerebral edema? Disease, diseased (see: Syndrome ) + Cirrhosis, cirrhotic (hepatic) (liver) + Laennec's cirrhosis + Ascites (abdominal) + Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM) 571.2 This is the American ICD-10-CM version of G93.6 other international versions of ICD-10 G93.6 may differ. A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter. Khan A, Ayub M, Khan WM. doi: 10.1016/j.vaccine.2013.03.075. WebICD-10-CM Codes Diseases of the digestive system Diseases of liver Alcoholic liver disease (K70) Alcoholic cirrhosis of liver with ascites (K70.31) K70.30 K70.31 K70.4 ICD-10-CM Code for Alcoholic cirrhosis of liver with ascites K70.31 ACDIS update: Share your experience with managing a remote staff in a CDI Journal article, ACDIS update: New ACDIS Podcast episode on clinical validation denials available now. All diagnoses must be documented and clinically supported to meet the Universal Hospital Discharge Data Set (UHDDS) definition of a secondary diagnosis. Bajaj JS, Wade JB, Gibson DP, et al. What icd-10-cm code is reported for a routine screening mammogram? HHS Vulnerability Disclosure, Help G93.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. If there are no other metabolic disruptions apparent in the record with a known mechanism of causing encephalopathy, coding professionals should follow Coding Clinic and assign G93.49, other encephalopathy. The main difference with decompensated Donna Wilson:If a patient is admitted with viral hepatitis and also has hepatic encephalopathy, do not code hepatic encephalopathy (572.2) as a secondary diagnosis. 67 to 1. There are many symptoms associated with encephalopathy, but there is one symptom that is present in all types and that is altered mental status. Epub 2021 Jul 31. 400 Somerset Corporate Blvd. government site. Q&A: Coding hepatic encephalopathy as a secondary condition. Use of this site signifies your agreement to the Legal Notice and Privacy Policy. I think that this is a big step forward for us to be able to justify why we're asking for what we are, and for an insurer to standardize what they need.. Cerebral edema 1 G93.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. An International Classification of Diseases (ICD)-9 code is specific for HE (572.2), offering a 0.92 positive predictive value (PPV) and 0.36 negative predictive value (NPV).3 When applied in an algorithm to patients with ICD-9 codes for cirrhosis (eg, 571.5), Kanwal et al4 found a PPV and NPV of 0.86 and 0.87. The associated mental status changes are reversible when the underlying cause is corrected. 2017 Aug;65(8):42-46. 2017;62(3):794-800. Web*ICD-9-CM codes at hospital discharge: 291.2 (alcohol-induced persisting dementia), 348.3 (encephalopathy, unspecified), and 572.2 (hepatic encephalopathy); all listed diagnoses. Valeant is the maker of Rifaximin, a medication approved for treatment of hepatic encephalopathy. WebThe coding classifications (ICD-9 and ICD-10) use encephalopathy to classify what DSM-5 calls delirium. Whatever your facility does in these cases, it is imperative that it is followed to help insure that the diagnosis will withstand an outside audit. Local chapter update: Spring into the new season with your local chapter! The 2023 edition of ICD-10-CM K72.90 became Chung CP, Rohan P, Krishnaswami S, McPheeters ML. Would you like email updates of new search results? WebWhat is the ICD-10 code for hepatic encephalopathy? In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of, acute and subacute hepatic failure without coma (, hepatic failure with toxic liver disease without coma (, jaundice due to inborn errors of metabolism (, acute and subacute hepatic failure with coma (, certain conditions originating in the perinatal period (, certain infectious and parasitic diseases (, complications of pregnancy, childbirth and the puerperium (, congenital malformations, deformations and chromosomal abnormalities (, endocrine, nutritional and metabolic diseases (, injury, poisoning and certain other consequences of external causes (, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (. K76.82 is a valid billable ICD-10 diagnosis code for Hepatic encephalopathy . Sylvia Hoffman:I agree with Donna. In August, Bausch Health Companies Inc and its gastroenterology business, Salix Pharmaceuticals, announced support of the new ICD-10 code being published by CMS. The XIFAXAN 550 mg product and the XIFAXAN trademark are licensed by Alfasigma S.p.A. to Salix Pharmaceuticals or its affiliates. WebICD-10-CM/PCS MS-DRG v37.0 Definitions Manual Skip to content MDC 07 Diseases & Disorders of the Hepatobiliary System & Pancreas Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis DRG 441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
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