ICD-10 Code K70.41 – Alcoholic hepatic failure with coma (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Alcoholic hepatic failure with coma is K70.41.
2026 ICD-10-CM Diagnosis Code K70.41 – Alcoholic hepatic failure with coma

What it is

K70.41 identifies alcoholic liver disease with hepatic failure and coma. Use it when documentation shows severe alcohol-related liver injury causing liver failure with loss of consciousness.

Clinical signs

Clinical features vary; refer to documentation. Typical records may note hepatic failure, altered mental status, or coma in the setting of alcohol-related liver disease.

When to use this code

Use this code when the clinician documents alcoholic hepatic failure with coma, or clearly links coma to alcohol-related liver failure. It applies to confirmed cases, not suspected encephalopathy alone. If the chart only states liver disease or coma without the alcoholic failure link, check documentation.

Do not use for

Do not use K70.41 for alcoholic liver disease without hepatic failure, or for coma from another cause. If the record does not specify coma, choose the more accurate alcoholic liver disease code.

Coding tip

Verify that both hepatic failure and coma are documented together and attributed to alcohol-related liver disease before assigning K70.41.

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