K74.5

Billable

Biliary cirrhosis, unspecified

HCC Category Mapping

V28HCC 68 — Cholangitis and Biliary Cirrhosis

0.000

V24HCC 28 — Cirrhosis of Liver

0.390

ESRDHCC 28 — Cirrhosis of Liver

0.000

What This Code Means

Cirrhosis of the liver related to bile duct disease, but the specific type (primary or secondary) is not specified in the documentation.

Coding Tips

•Use only when the type of biliary cirrhosis cannot be determined from available documentation
•Query the provider if additional information is available to specify K74.3 or K74.4

Clinical Significance

Biliary cirrhosis unspecified indicates liver scarring related to bile duct disease without specification of primary or secondary etiology. This diagnosis requires further evaluation to determine the underlying cause and appropriate treatment approach.

Documentation Requirements

✓Evidence of cirrhosis involving biliary system
✓Elevated alkaline phosphatase levels
✓Imaging or biopsy showing biliary cirrhosis
✓Clinical presentation consistent with cholestatic liver disease
✓Absence of specific documentation regarding primary vs secondary cause
✓Evidence of progressive liver fibrosis
✓Hepatomegaly or other signs of chronic liver disease
✓Laboratory markers of cholestasis

Commonly Confused Codes

K74.3 — Primary biliary cirrhosis when autoimmune markers are positive K74.4 — Secondary biliary cirrhosis when obstructive cause is documented K74.60 — Unspecified cirrhosis when biliary involvement not established K83.01 — Primary sclerosing cholangitis affects larger bile ducts K76.6 — Portal hypertension may be complication but not primary diagnosis

Code Hierarchy

└K74Fibrosis and cirrhosis of liver └K74.5Biliary cirrhosis, unspecified

└K74.5Biliary cirrhosis, unspecified