cirrhosis CDI

Don’t assume that cirrhosis is due to alcoholism unless specified.

ALWAYS document the underlying etiology of cirrhosis:

Viral (Hep B, C, or D)
Alcohol
Cryptogenic (NASH)
Autoimmune
Hemachromatosis
PSC/PBC
ALWAYS document associated conditions when present:

Ascites
Esophageal Varices (with or without bleeding)
Hepatic Encephalopathy
Jaundice
Portal Vain Thromobosis
Spontaneous Bacterial Peritonitis
Documentation Example: “Cirrhosis due to Hep C with ascites and non-bleeding esophageal varices”
*Remember – altered mental status or confusion does not mean encephalopathy. Be sure to document “hepatic encephalopathy” (MCC) and not just the signs/symptoms.