Alcoholic cirrhosis of liver with ascites

This code signifies end-stage liver disease caused by chronic alcohol abuse, specifically when complicated by the accumulation of fluid in the peritoneal cavity (ascites). It indicates severe hepatic dysfunction and portal hypertension resulting from irreversible scarring of the liver parenchyma.

Apply this code when documentation clearly states alcoholic cirrhosis and the presence of ascites. This typically occurs in patients with a history of significant alcohol consumption presenting with abdominal distension, fluid retention, and imaging evidence of ascites in the context of cirrhotic liver changes.

• Ensure documentation explicitly links the cirrhosis to alcohol consumption.
• Do not use if the ascites is due to a non-cirrhotic cause or if the cirrhosis is not specified as alcoholic.
• Code any associated complications of cirrhosis, such as hepatic encephalopathy or esophageal varices, in addition to this code.