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K74 ICD-10-CM Code: Fibrosis and cirrhosis of liver

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Diseases of liver (K70-K77)

K74

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Fibrosis and cirrhosis of liver

Fibrosis and cirrhosis of liver

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
K7Diseases of liver (K70-K77)
K74Fibrosis and cirrhosis of liver

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K74 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for K74 in this effective period.

Related Child Codes

Official
K74.0Hepatic fibrosis
K74.1Hepatic sclerosis
K74.2Hepatic fibrosis with hepatic sclerosis
K74.3Primary biliary cirrhosis
K74.4Secondary biliary cirrhosis

Includes

Official

ICD-10-CM does not list Includes notes for K74 in this effective period.

Excludes 1

Official
  • 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)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K74 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for K74 in this effective period.

Code Also

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

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

K74 is the ICD-10-CM diagnosis code for fibrosis and cirrhosis of liver. K74 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering diseases of liver (k70-k77).

Header codes like K74 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K74's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K74 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • 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

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

Child Codes

Code Hierarchy

K74Fibrosis and cirrhosis of liver
K74Fibrosis and cirrhosis of liver

More on K74

Related condition guides

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