ICD-10-CM Code For Fibrosis And Cirrhosis Of Liver: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group K74 includes diagnoses of hepatic fibrosis and cirrhosis, covering various forms of chronic liver scarring and end-stage liver disease. These ICD-10-CM diagnosis codes are used to document chronic liver scarring, decompensation features, and related organ involvement that reflect disease severity and complexity. Accurate coding within the ICD-10-CM K74 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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ICD-10-CM K74: Fibrosis And Cirrhosis Of Liver Overview

The ICD-10-CM K74 group covers diagnoses of hepatic fibrosis and cirrhosis, representing chronic structural liver damage often resulting from long-standing inflammation, metabolic disorders, or toxic injury. These conditions affect the liver parenchyma and can lead to progressive hepatic dysfunction and portal hypertension. Accurate coding is important for documenting disease severity, guiding appropriate resource use, and supporting reimbursement for services related to chronic liver disease.

When to Use

Use a code from this group when clinical documentation indicates liver fibrosis or cirrhosis, including specified complications such as ascites when documented. Select the most specific code available based on documented etiology, severity, and associated features to reflect clinical complexity.

ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
K74.00	Hepatic fibrosis, unspecified
K74.01	Hepatic fibrosis, early fibrosis
K74.02	Hepatic fibrosis, advanced fibrosis
K74.1	Hepatic sclerosis
K74.2	Hepatic fibrosis with hepatic sclerosis
K74.3	Primary biliary cirrhosis
K74.4	Secondary biliary cirrhosis
K74.5	Biliary cirrhosis, unspecified
K74.60	Unspecified cirrhosis of liver
K74.69	Other cirrhosis of liver

DRG Codes

6 rows

DRG Code	Description
432	Cirrhosis and Alcoholic Hepatitis with MCC
433	Cirrhosis and Alcoholic Hepatitis with CC
434	Cirrhosis and Alcoholic Hepatitis without CC/MCC
441	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC
442	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC
443	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC

Typical Clinical Scenarios

An older adult with long-standing alcohol use presents to the outpatient hepatology clinic with progressive fatigue, abdominal distension, jaundice, and lower extremity edema. Imaging and labs show nodular liver contour, low albumin, elevated bilirubin, and portal hypertension with splenomegaly; the clinician documents established cirrhosis due to chronic liver injury requiring ongoing management of complications. A chronic cirrhosis code from this group is assigned to capture the underlying structural liver disease. Typical codes: K74.60, K74.69
A middle-aged patient with a history of nonalcoholic steatohepatitis (NASH) is evaluated for increasing liver fibrosis on elastography and serial biopsies demonstrating progression from earlier stages to advanced fibrosis without overt decompensation. The visit documents the presence and staging of hepatic fibrosis as the primary problem driving monitoring and potential therapy adjustments. A fibrosis-specific code from this group is used to indicate the pathological fibrotic changes of the liver. Typical codes: K74.1, K74.2
An emergency department admission for new-onset ascites and hepatic encephalopathy in a patient with known chronic liver disease; diagnostic workup confirms decompensated cirrhosis with portal hypertensive complications and imaging consistent with micronodular scarring. The acute complications prompt inpatient management, and coding includes the underlying cirrhotic process as the cause of the acute presentation. Typical codes: K74.60, K74.69, K74.3

Related Codes

K70-ALCOHOLIC-LIVER-DISEASE

ICD-10-CM Code For Alcoholic Liver Disease: Group Overview

K71-TOXIC-LIVER-DISEASE

ICD-10-CM Code For Toxic Liver Disease: Group Overview

K72-HEPATIC-FAILURE-NOT-ELSEWHERE-CLASSIFIED

ICD-10-CM Code For Hepatic Failure Not Elsewhere Classified: Group Overview

K73-CHRONIC-HEPATITIS-NOT-ELSEWHERE-CLASSIFIED

ICD-10-CM Code For Chronic Hepatitis Not Elsewhere Classified: Group Overview

K75-OTHER-INFLAMMATORY-LIVER-DISEASES

ICD-10-CM Code For Other Inflammatory Liver Diseases: Group Overview

K76-OTHER-DISEASES-OF-LIVER

ICD-10-CM Code For Other Diseases Of Liver: Group Overview

K77-LIVER-DISORDERS-IN-DISEASES-CLASSIFIED-ELSEWHERE

ICD-10-CM Code For Liver Disorders In Diseases Classified Elsewhere: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
K74.00	Hepatic fibrosis, unspecified
K74.01	Hepatic fibrosis, early fibrosis
K74.02	Hepatic fibrosis, advanced fibrosis
K74.1	Hepatic sclerosis
K74.2	Hepatic fibrosis with hepatic sclerosis
K74.3	Primary biliary cirrhosis
K74.4	Secondary biliary cirrhosis
K74.5	Biliary cirrhosis, unspecified
K74.60	Unspecified cirrhosis of liver
K74.69	Other cirrhosis of liver

DRG Codes

6 rows

DRG Code	Description
432	Cirrhosis and Alcoholic Hepatitis with MCC
433	Cirrhosis and Alcoholic Hepatitis with CC
434	Cirrhosis and Alcoholic Hepatitis without CC/MCC
441	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC
442	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC
443	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC

Typical Clinical Scenarios

An older adult with long-standing alcohol use presents to the outpatient hepatology clinic with progressive fatigue, abdominal distension, jaundice, and lower extremity edema. Imaging and labs show nodular liver contour, low albumin, elevated bilirubin, and portal hypertension with splenomegaly; the clinician documents established cirrhosis due to chronic liver injury requiring ongoing management of complications. A chronic cirrhosis code from this group is assigned to capture the underlying structural liver disease. Typical codes: K74.60, K74.69
A middle-aged patient with a history of nonalcoholic steatohepatitis (NASH) is evaluated for increasing liver fibrosis on elastography and serial biopsies demonstrating progression from earlier stages to advanced fibrosis without overt decompensation. The visit documents the presence and staging of hepatic fibrosis as the primary problem driving monitoring and potential therapy adjustments. A fibrosis-specific code from this group is used to indicate the pathological fibrotic changes of the liver. Typical codes: K74.1, K74.2
An emergency department admission for new-onset ascites and hepatic encephalopathy in a patient with known chronic liver disease; diagnostic workup confirms decompensated cirrhosis with portal hypertensive complications and imaging consistent with micronodular scarring. The acute complications prompt inpatient management, and coding includes the underlying cirrhotic process as the cause of the acute presentation. Typical codes: K74.60, K74.69, K74.3

Related Codes

K70-ALCOHOLIC-LIVER-DISEASE

ICD-10-CM Code For Alcoholic Liver Disease: Group Overview

K71-TOXIC-LIVER-DISEASE

ICD-10-CM Code For Toxic Liver Disease: Group Overview

K72-HEPATIC-FAILURE-NOT-ELSEWHERE-CLASSIFIED

ICD-10-CM Code For Hepatic Failure Not Elsewhere Classified: Group Overview

K73-CHRONIC-HEPATITIS-NOT-ELSEWHERE-CLASSIFIED

ICD-10-CM Code For Chronic Hepatitis Not Elsewhere Classified: Group Overview

K75-OTHER-INFLAMMATORY-LIVER-DISEASES

ICD-10-CM Code For Other Inflammatory Liver Diseases: Group Overview

K76-OTHER-DISEASES-OF-LIVER

ICD-10-CM Code For Other Diseases Of Liver: Group Overview

K77-LIVER-DISORDERS-IN-DISEASES-CLASSIFIED-ELSEWHERE

ICD-10-CM Code For Liver Disorders In Diseases Classified Elsewhere: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Fibrosis And Cirrhosis Of Liver: Group Overview

Sign up for ICD-10-CM Code For Fibrosis And Cirrhosis Of Liver: Group Overview policy alerts

ICD-10-CM K74: Fibrosis And Cirrhosis Of Liver Overview

ICD-10-CM Code For Fibrosis And Cirrhosis Of Liver: Group Overview

Sign up for ICD-10-CM Code For Fibrosis And Cirrhosis Of Liver: Group Overview policy alerts

ICD-10-CM K74: Fibrosis And Cirrhosis Of Liver Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which diagnoses are included in the ICD-10-CM K74 group?

How does accurate coding within K74 support reimbursement?

What clinical features do K74 codes represent?

Which related DRGs are commonly associated with K74 diagnoses?

How should coders distinguish among the K74 subcodes?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which diagnoses are included in the ICD-10-CM K74 group?

How does accurate coding within K74 support reimbursement?

What clinical features do K74 codes represent?

Which related DRGs are commonly associated with K74 diagnoses?

How should coders distinguish among the K74 subcodes?

References