New for FY2027 ICD-10-CM · October 1, 2026
K74.0A: Hepatic fibrosis, moderate fibrosis
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Hepatic fibrosis, moderate fibrosis. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: K00-K95 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: K00-K95 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: K00-K95 (chapter, inherited).
Excludes2
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
Source: K00-K95 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: K00-K95 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: K00-K95 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: K00-K95 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: K00-K95 (chapter, inherited).
Excludes1
jaundice NOS (R17)
Source: K70-K77 (section, inherited).
Excludes2
hemochromatosis (E83.11-)
Source: K70-K77 (section, inherited).
Excludes2
Reye's syndrome (G93.7)
Source: K70-K77 (section, inherited).
Excludes2
viral hepatitis (B15-B19)
Source: K70-K77 (section, inherited).
Excludes2
Wilson's disease (E83.01)
Source: K70-K77 (section, inherited).
Code also
, if applicable, viral hepatitis (acute) (chronic) (B15-B19)
Source: K74 (category, inherited).
Excludes1
alcoholic cirrhosis (of liver) (K70.3)
Source: K74 (category, inherited).
Excludes1
alcoholic fibrosis of liver (K70.2)
Source: K74 (category, inherited).
Excludes1
cardiac sclerosis of liver (K76.1)
Source: K74 (category, inherited).
Excludes1
cirrhosis (of liver) with toxic liver disease (K71.7)
Source: K74 (category, inherited).
Excludes1
congenital cirrhosis (of liver) (P78.81)
Source: K74 (category, inherited).
Excludes1
pigmentary cirrhosis (of liver) (E83.110)
Source: K74 (category, inherited).
Code first
underlying liver disease, such as:
Source: K74.0 (self, inherited).
Code first
nonalcoholic steatohepatitis (NASH) (K75.81)
Source: K74.0 (self, inherited).
Instructional note
Hepatic fibrosis, stage F2
Source: K74.0A (self, direct).
Instructional note
Moderate hepatic fibrosis
Source: K74.0A (self, direct).
Compare the FY2027 additions, removals and billable-status changes
What does K74.0A mean in FY2027?
The official ICD-10-CM descriptor is Hepatic fibrosis, moderate fibrosis. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
When did K74.0A become an ICD-10-CM code?
K74.0A is new for FY2027 ICD-10-CM, effective October 1, 2026. It is absent from the FY2026 April order file. Use the code set that applies to the encounter or inpatient discharge date, and check the official Tabular instructions.
Is K74.0A billable in FY2027?
The FY2027 order file marks K74.0A as billable. Check the complete Tabular instructions and documentation before assigning it.
Does K74.0A map to an HCC?
K74.0A is not in the current CMS mapping file (it is new for FY2027), and CMS has not yet published payment year 2028 mappings. No HCC category or RAF coefficient is shown.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.