Is ICD-10-CM code K74 billable?

No, K74 (Fibrosis and cirrhosis of liver) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code K74 belong to?

K74 belongs to Chapter 11 of the ICD-10-CM tabular list: K00–K95 (Diseases of the Digestive System).

K74Not billable, use a more specific code below

Fibrosis and cirrhosis of liver

In Diseases of liver (K70-K77), chapter 11: Diseases of the Digestive System

11 billable codes under K74: none are a CC or MCC; 5 map to HCC 64 (Cirrhosis of Liver), HCC 68 (Cholangitis and Obstruction of Bile Duct Without Gallstones).An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Excludes1: not coded here, use a different code

alcoholic cirrhosis (of liver) (K70.3)
alcoholic fibrosis of liver (K70.2)
cardiac sclerosis of liver (K76.1)
cirrhosis (of liver) with toxic liver disease (K71.7)
congenital cirrhosis (of liver) (P78.81)
pigmentary cirrhosis (of liver) (E83.110)

Code also: add a code for this too, order depends on the encounter

if applicable, viral hepatitis (acute) (chronic) (B15-B19)

Also applies, from Diseases of liver (K70-K77)

These notes sit on K70-K77 and apply to every code under it, including K74.

Excludes1: not coded here, use a different code

jaundice NOS (R17)

Excludes2: not included here, code separately if applicable

hemochromatosis (E83.11-)
Reye's syndrome (G93.7)
viral hepatitis (B15-B19)
Wilson's disease (E83.01)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.

Read Section I.C.11 (page 58)

All codes under K74

K74 can't be used on a claim. Pick a billable code below; grey headings group them.

K74 MS-DRGs

As the principal diagnosis, the billable codes under K74 group to MS-DRG 432, 433, 434, 441, 442, or 443 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 432 Cirrhosis and Alcoholic Hepatitis with MCC (9 of 11 codes)
DRG 433 Cirrhosis and Alcoholic Hepatitis with CC (9 of 11 codes)
DRG 434 Cirrhosis and Alcoholic Hepatitis without CC/MCC (9 of 11 codes)
DRG 441 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC (2 of 11 codes)
DRG 442 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC (2 of 11 codes)
DRG 443 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC (2 of 11 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Cirrhosis

Cirrhosis is scarring of the liver. Scar tissue forms because of injury or long-term disease. Scar tissue cannot do what healthy liver tissue does - make protein, help fight infections, clean the blood, help digest food and store energy. Cirrhosis can lead to :

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.