Advanced decompensated cirrhosis of the liver and associated conditions (ICD-10)



Coding system
ICD-10
Organisation
OpenSAFELY
Codelist ID
opensafely/condition-advanced-decompensated-cirrhosis-of-the-liver-and-associated-conditions-icd-10
Version ID
00e40554

Versions
  • 00e40554

Description

Codelist to identify patients with advanced decompensated cirrhosis of the liver.

Decompensated cirrhosis is defined as an acute deterioration in liver function in a patient with cirrhosis and is characterised by jaundice, ascites, hepatic encephalopathy, hepatorenal syndrome or variceal haemorrhage. (Moreau et al, 2013)

The codelist takes into account the conditions which characterise advanced decompensated cirrhosis of the liver listed above as well as codes for cirrhosis.

Methodology

Methodology Search Terms: K70-77

Inclusion Criteria for Codes Terms for cirrhosis of the liver and for conditions that characterise an episode of decompensation.

Exclusion Criteria for Codes Jaundice not included

Borderline Cases to Highlight: Codes describing acute hepatic injury - for example side effect of medication. May not capture the advanced nature of liver disease that looking to capture.

References

Signed off by

  • Vicky Speed, (July 25, 2022)
  • Richard Croker, (July 25, 2022)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

code term
B150 Hepatitis A with hepatic coma
B160 Acute hepatitis B with delta-agent (coinfection) with hepatic coma
B162 Acute hepatitis B without delta-agent with hepatic coma
B190 Unspecified viral hepatitis with hepatic coma
I85 Oesophageal varices
I850 Oesophageal varices with bleeding
I859 Oesophageal varices without bleeding
I982 Oesophageal varices without bleeding in diseases classified elsewhere
I983 Oesophageal varices with bleeding in diseases classified elsewhere
K703 Alcoholic cirrhosis of liver
K717 Toxic liver disease with fibrosis and cirrhosis of liver
K74 Fibrosis and cirrhosis of liver
K743 Primary biliary cirrhosis
K744 Secondary biliary cirrhosis
K745 Biliary cirrhosis, unspecified
K746 Other and unspecified cirrhosis of liver
K766 Portal hypertension
K767 Hepatorenal syndrome
R18 Ascites

Codes not in the full codelist are in faint grey.