K71.4

Toxic liver disease with chronic lobular hepatitis

FY2027Chapter 11: Diseases of the digestive system/K70–K77 Diseases of liver

BillableComplete code, valid to report

K71.4 (also written K714) is a billable ICD-10-CM diagnosis code for toxic liver disease with chronic lobular hepatitis. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 12 codes in category K71 (Toxic liver disease). The Alphabetic Index lists it under 1 entry. Its coding notes include a Code first instruction, a Use additional code instruction, 1 Excludes1 entry and 14 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from K71 Toxic liver disease
  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add the listed code as a secondary code, if known.

Inherited from K71 Toxic liver disease
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Also from chapter/block level (1 note)
Inherited from K70–K77 Diseases of liver
  • jaundice NOS (R17)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from K71 Toxic liver disease
  • alcoholic liver disease (K70.-)
  • Budd-Chiari syndrome (I82.0)
Also from chapter/block level (12 notes)
Inherited from K70–K77 Diseases of liver
Inherited from Chapter 11 Diseases of the digestive system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from K71 Toxic liver disease
  • drug-induced idiosyncratic (unpredictable) liver disease
  • drug-induced toxic (predictable) liver disease

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry