Toxic liver disease with fibrosis and cirrhosis of liver

This code signifies liver damage characterized by inflammation, fibrosis, and eventual cirrhosis, resulting from exposure to toxic substances. These toxins can include medications, environmental chemicals, or illicit drugs, leading to progressive and irreversible liver scarring.

Apply this code when documentation clearly indicates liver fibrosis and cirrhosis directly attributed to a toxic agent. This typically involves a history of exposure to hepatotoxic substances and biopsy-confirmed or imaging-supported evidence of cirrhosis.

• Always identify the specific toxic agent if known, using an additional code from categories T36-T65.
• Ensure the documentation explicitly links the toxicity to the development of fibrosis and cirrhosis, not just acute liver injury.
• Distinguish from other causes of cirrhosis (e.g., alcoholic, viral) unless a toxic etiology is definitively established.