Is ICD-10-CM code K76 billable?

No, K76 (Other diseases 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 K76 belong to?

K76 belongs to Chapter 11 of the ICD-10-CM tabular list: K00–K95 (Diseases of the Digestive System).

K76Not billable, use a more specific code below

Other diseases of liver

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

13 billable codes under K76: 3 are an MCC, 1 is a CC; 4 map to HCC 63 (Chronic Liver Failure/End-Stage Liver Disorders).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Excludes2: not included here, code separately if applicable

alcoholic liver disease (K70.-)
amyloid degeneration of liver (E85.-)
cystic disease of liver (congenital) (Q44.6)
hepatic vein thrombosis (I82.0)
hepatomegaly NOS (R16.0)
pigmentary cirrhosis (of liver) (E83.110)
portal vein thrombosis (I81)
toxic liver disease (K71.-)

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

These notes sit on K70-K77 and apply to every code under it, including K76.

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 K76

K76 can't be used on a claim. Pick a billable code below; grey headings group them.

K76 MS-DRGs

As the principal diagnosis, the billable codes under K76 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 441 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC (12 of 13 codes)
DRG 442 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC (12 of 13 codes)
DRG 443 Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC (12 of 13 codes)
DRG 791 Prematurity with Major Problems (5 of 13 codes)
DRG 793 Full Term Neonate with Major Problems (5 of 13 codes)
DRG 205 Other Respiratory System Diagnoses with MCC (1 of 13 codes)
DRG 206 Other Respiratory System Diagnoses without MCC (1 of 13 codes)

About the condition

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

Liver Diseases

Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons. There are many kinds of liver diseases:

Code history

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