Advanced decompensated cirrhosis of the liver and associated conditions (ICD-10)
- Coding system
- ICD-10
- Coding system release
- unknown
- 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.
Note: This version does not include codes related to primary biliary cirrhosis. Additionally reviewer by Dr Karen Waller.
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
- Validation of a coding algorithm to identify patients with end stage liver disease in an administrative database (Goldberg 2012)
- Acute-on-Chronic Liver Failure Is a Distinct Syndrome That Develops in Patients With Acute Decompensation of Cirrhosis (Moreau 2013)
- Management of decompensated cirrhosis (Mansour 2018)
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.