K70.41 Alcoholic hepatic failure with coma

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applies from K70 Alcoholic liver disease

Use additional code

• code to identify:
• alcohol abuse and dependence (F10.-)

Applies from K70.4 Alcoholic hepatic failure

Applicable to

• Acute alcoholic hepatic failure
• Alcoholic hepatic failure NOS
• Chronic alcoholic hepatic failure
• Subacute alcoholic hepatic failure

Risk adjustment (HCC)

• CMS-HCC V22: HCC 28 — Cirrhosis of Liver
• ESRD V24: HCC 28

MS-DRG index

Defines the logic of DRG(s) 432-434 in MDC 07.

Approximate ICD-9-CM (GEMs)

• 571.3 Alcoholic liver damage, unspecified (approximate)
• 572.2 Hepatic encephalopathy (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.

Code annotations containing back-references to K70.41

Back-references to K70.41

• Type 1 Excludes: K76.82 Hepatic encephalopathy ("alcoholic hepatic failure with coma (K70.41)")

Back-references to K70.4

• Type 1 Excludes: K72 Hepatic failure, not elsewhere classified ("alcoholic hepatic failure (K70.4)")

Back-references to K70

• Type 2 Excludes: K71 Toxic liver disease ("alcoholic liver disease (K70.-)")
• Type 2 Excludes: K76 Other diseases of liver ("alcoholic liver disease (K70.-)")
• Type 1 Excludes: K77 Liver disorders in diseases classified elsewhere ("alcoholic liver disease (K70.-)")

Diagnosis Index entries for K70.41

• Disease, diseased › liver (chronic) (organic) › alcoholic (chronic) › failure › with coma
• Failure, failed › hepatic › alcoholic (acute) (chronic) (subacute) › with coma

Nearby codes

• K70.3 Alcoholic cirrhosis of liver
• K70.30 Alcoholic cirrhosis of liver without ascites
• K70.31 Alcoholic cirrhosis of liver with ascites
• K70.4 Alcoholic hepatic failure
• K70.40 Alcoholic hepatic failure without coma
• K70.41 Alcoholic hepatic failure with coma (this code)
• K70.9 Alcoholic liver disease, unspecified