K71.11 Toxic liver disease with hepatic necrosis, with coma

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

Applies from K71 Toxic liver disease

Includes

• drug-induced idiosyncratic (unpredictable) liver disease
• drug-induced toxic (predictable) liver disease

Excludes2 (not included here)

• alcoholic liver disease (K70.-)
• Budd-Chiari syndrome (I82.0)

Code first

• poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

• code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Applies from K71.1 Toxic liver disease with hepatic necrosis

Applicable to

• Hepatic failure (acute) (chronic) due to drugs

Risk adjustment (HCC)

• CMS-HCC V22: HCC 27 — End-Stage Liver Disease
• ESRD V24: HCC 27

MS-DRG index

Defines the logic of DRG(s) 441-443 in MDC 07.

Approximate ICD-9-CM (GEMs)

• 572.2 Hepatic encephalopathy (approximate)
• 573.3 Hepatitis, unspecified (approximate)

Code annotations containing back-references to K71.11

Back-references to K71.1

• Type 1 Excludes: K72 Hepatic failure, not elsewhere classified ("hepatic failure with toxic liver disease (K71.1-)")

Back-references to K71

• Type 1 Excludes: K73 Chronic hepatitis, not elsewhere classified ("drug-induced hepatitis (chronic) (K71.-)")
• Type 2 Excludes: K75 Other inflammatory liver diseases ("toxic liver disease (K71.-)")
• Type 2 Excludes: K76 Other diseases of liver ("toxic liver disease (K71.-)")

Diagnosis Index entries for K71.11

• Disease, diseased › liver (chronic) (organic) › toxic › with › hepatic necrosis › with coma
• Failure, failed › hepatic › acute or subacute › due to drugs › with coma
• Failure, failed › hepatic › chronic › due to drugs (acute) (subacute) (chronic) › with coma
• Failure, failed › hepatic › due to drugs (acute) (subacute) (chronic) › with coma

Nearby codes

• K71 Toxic liver disease
• K71.0 Toxic liver disease with cholestasis
• K71.1 Toxic liver disease with hepatic necrosis
• K71.10 Toxic liver disease with hepatic necrosis, without coma
• K71.11 Toxic liver disease with hepatic necrosis, with coma (this code)
• K71.2 Toxic liver disease with acute hepatitis
• K71.3 Toxic liver disease with chronic persistent hepatitis
• K71.4 Toxic liver disease with chronic lobular hepatitis
• K71.5 Toxic liver disease with chronic active hepatitis
• K71.50 Toxic liver disease with chronic active hepatitis without ascites