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NASH with Cirrhosis

Angelica Posted Tue 25th of September, 2012 16:52:14 PM

Our patient was admitted with cirrhosis of the liver due to NASH. (nonalcoholic steatohepatitis)Since cirrhosis is the progression of NASH, would you code 571.8 (NASH) AND 571.5(cirrhosis of liver without mention of alcohol)? If so, which would be the principal diagnosis? Thank You.

SuperCoder Answered Tue 25th of September, 2012 22:30:00 PM

Cirrhosis is a chronic condition and is therefore generally not sequenced as principal. However, the circumstances of the admission, diagnostic approach, and treatment rendered should always be considered. For example, this patient presents with NASH. After an workup, the physician diagnoses the patient with chronic cirrhosis due to NASH. In this case, sequence the cirrhosis as principal because the NASH is considered a sign and symptom of the disease process.

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