The National Institute for Health and Clinical Excellence (NICE) has issued updated full guidance to the NHS in England, Wales, Scotland and Northern Ireland on extracorporeal albumin dialysis for acute liver failure, which replaces guidance on extracorporeal albumin dialysis for acute-on-chronic liver failure (NICE interventional procedure guidance 45, February 2004).

Coding recommendations

X43.1 Extracorporeal albumin haemodialysis

In addition the ICD-10 code K70.4 Alcoholic hepatic failure, K71.1 Toxiic liver disease with hepatic necrosis (includes hepatic failure (acute) (chronic) due to drugs) or K72.0 Acute and subacute hepatic failure would be recorded.

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

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