ICD-10 Code K71.4 – Toxic liver disease with chronic lobular hepatitis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Toxic liver disease with chronic lobular hepatitis is K71.4.
2026 ICD-10-CM Diagnosis Code K71.4 – Toxic liver disease with chronic lobular hepatitis

What it is

K71.4 identifies liver injury caused by a toxin or drug, with chronic lobular hepatitis documented. Use it when the record links the liver disease to a toxic exposure and describes this specific chronic hepatitis pattern.

Clinical signs

Clinical features vary; refer to documentation. Records may note chronic hepatitis, abnormal liver findings, or evidence of toxic liver injury, but you should code only when the clinician specifies chronic lobular hepatitis.

When to use this code

Use K71.4 when the provider documents toxic liver disease and specifically states chronic lobular hepatitis. It fits cases where a medication, chemical, or other toxin is identified as the cause. If the cause or hepatitis type is unclear, check documentation before assigning the code.

Do not use for

Do not use this code for unspecified toxic liver disease, acute hepatitis, or liver injury without documented chronic lobular hepatitis. If the record does not clearly connect the condition to a toxin, do not assume K71.4.

Coding tip

Verify both elements in the note: toxic cause and chronic lobular hepatitis; if either is missing, query or code more specifically from the documentation.

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