K74.60

Billable

Unspecified cirrhosis of liver

HCC Category Mapping

V28HCC 64 — Cirrhosis of Liver

0.666

V24HCC 28 — Cirrhosis of Liver

0.390

ESRDHCC 28 — Cirrhosis of Liver

0.000

What This Code Means

Severe scarring and hardening of the liver (cirrhosis) without a specified cause or type.

Coding Tips

•This is a non-specific cirrhosis code; attempt to identify the etiology (alcoholic, viral hepatitis, etc.) for more specific coding
•Use K74.69 if a specific type of cirrhosis is documented but doesn't fit other K74 categories

Clinical Significance

Unspecified cirrhosis represents advanced liver scarring and dysfunction without documented etiology, requiring comprehensive evaluation and management of complications. This diagnosis carries significant mortality risk and healthcare resource utilization.

Documentation Requirements

✓Histological or imaging evidence of liver cirrhosis
✓Clinical signs of chronic liver disease (ascites, varices, jaundice)
✓Laboratory evidence of hepatic dysfunction
✓Absence of specific etiology documentation
✓Evidence of hepatic fibrosis and nodular regeneration
✓Portal hypertension or its complications
✓Synthetic liver function impairment
✓Physical examination findings consistent with cirrhosis

Commonly Confused Codes

K70.30 — Alcoholic cirrhosis when alcohol etiology is documented K74.3 — Primary biliary cirrhosis when autoimmune markers present K74.4 — Secondary biliary cirrhosis when obstruction is the cause B18.2 — Chronic hepatitis B with cirrhosis when HBV positive K76.6 — Portal hypertension may be complication rather than primary diagnosis

Code Hierarchy

└K74Fibrosis and cirrhosis of liver └K74.6Other and unspecified cirrhosis of liver └K74.60Unspecified cirrhosis of liver

└K74.60Unspecified cirrhosis of liver