2024 ICD-10-CM Diagnosis Code K74.69

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Bacterial portal cirrhosis
• Bacterial portal cirrhosis
• Biliary cirrhosis
• Biliary cirrhosis of children
• Capsular portal cirrhosis
• Cardiac cirrhosis
• Cardiac portal cirrhosis
• Cirrhosis of liver due to and following cardiac procedure
• Cirrhosis secondary to cholestasis
• Cruveilhier-Baumgarten syndrome
• Cryptogenic cirrhosis
• Cryptogenic cirrhosis
• Diffuse nodular cirrhosis
• Disorder of copper metabolism
• Disorder of liver due to disorder of mineral metabolism
• Early cirrhosis
• Fatty portal cirrhosis
• Fibrosis of bile duct
• Glissonian cirrhosis
• Hepatic congestion
• Hepatic schistosomiasis
• Idiopathic copper associated cirrhosis of liver
• Indian childhood cirrhosis
• Infectious cirrhosis
• Infectious cirrhosis
• Infectious cirrhosis
• Infectious cirrhosis
• Juvenile portal cirrhosis
• Laennec's cirrhosis, non-alcoholic
• Macronodular cirrhosis
• Micronodular cirrhosis
• Mixed micro and macronodular cirrhosis
• Multilobular portal cirrhosis
• North American Indian childhood cirrhosis
• Nutritional cirrhosis
• Obstructive biliary cirrhosis
• Parasitic cirrhosis
• Periportal fibrosis
• Pigment cirrhosis
• Pigmentary portal cirrhosis
• Pipestem portal cirrhosis
• Portal cirrhosis
• Portal hypertension
• Posthepatitic cirrhosis
• Postnecrotic cirrhosis
• Progressive intrahepatic cholestasis
• Syphilitic portal cirrhosis
• Toxic liver disease
• Toxic portal cirrhosis
• Unilobular portal cirrhosis

Clinical Information

• Portal Cirrhosis

  a nutritional cirrhosis that is characterized by an increase in connective tissue surrounding the portal spaces.

• Cryptogenic Cirrhosis

  cirrhosis in which no causative agent can be identified.

K74.69 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
432	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC	07	1.916
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	07	1.031
434	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC	07	0.6695

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert K74.69 to ICD-9-CM

• ICD-9-CM Code: 571.5 - Cirrhosis of liver NOS
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Cirrhosis

Cirrhosis is scarring of the liver. Scar tissue forms because of injury or long-term disease. Scar tissue cannot do what healthy liver tissue does - make protein, help fight infections, clean the blood, help digest food and store energy. Cirrhosis can lead to :

• Easy bruising or bleeding, or nosebleeds
• Swelling of the abdomen or legs
• Extra sensitivity to medicines
• High blood pressure in the vein entering the liver
• Enlarged veins called varices in the esophagus and stomach. Varices can bleed suddenly.
• Kidney failure
• Jaundice
• Severe itching
• Gallstones

A small number of people with cirrhosis get liver cancer.

Your doctor will diagnose cirrhosis with blood tests, imaging tests, or a biopsy.

Cirrhosis has many causes. In the United States, the most common causes are chronic alcoholism and hepatitis. Nothing will make the scar tissue disappear, but treating the cause can keep it from getting worse. If too much scar tissue forms, you may need to consider a liver transplant.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

[Learn More in MedlinePlus]

Cryptogenic cirrhosis

Cryptogenic cirrhosis is a condition that impairs liver function. People with this condition develop irreversible liver disease caused by scarring of the liver (cirrhosis), typically in mid- to late adulthood.

The liver is a part of the digestive system that helps break down food, store energy, and remove waste products, including toxins. Minor damage to the liver can be repaired by the body. However, severe or long-term damage can lead to the replacement of normal liver tissue with scar tissue.

In the early stages of cryptogenic cirrhosis, people often have no symptoms because the liver has enough normal tissue to function. Signs and symptoms become apparent as more of the liver is replaced by scar tissue. Affected individuals can experience fatigue, weakness, loss of appetite, weight loss, nausea, swelling (edema), enlarged blood vessels, and yellowing of the skin and whites of the eyes (jaundice).

People with cryptogenic cirrhosis may develop high blood pressure in the vein that supplies blood to the liver (portal hypertension). Cryptogenic cirrhosis can lead to type 2 diabetes, although the mechanism is unclear. Some people with cryptogenic cirrhosis develop cancer of the liver (hepatocellular cancer).

[Learn More in MedlinePlus]

Cirrhosis

Overview of cirrhosis, a condition in which your liver is scarred and permanently damaged. Describes causes, symptoms, complications, diagnosis, and treatment.
[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.