2027 ICD-10-CM Diagnosis Code K74.0AHepatic fibrosis, moderate fibrosis

ICD-10-CM Codes›K00–K95›K70-K77›K74

ICD-10-CM K74.0A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K74.0A is a billable ICD-10-CM diagnosis code for hepatic fibrosis, moderate fibrosis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 432 through 434.

Code Identity

ICD-10-CM Code
K74.0A
Billable Status
Yes — Valid for Submission
Code Describes
Hepatic fibrosis, moderate fibrosis
Short Description
Hepatic fibrosis, moderate fibrosis
Same as the full description in the CMS dataset.
Parent Code
K74.0
Hepatic fibrosis

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK70-K77Diseases of liver
CategoryK74Fibrosis and cirrhosis of liver
This CodeK74.0AHepatic fibrosis, moderate fibrosis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K74.0A: its own notes plus those printed at K74.0, K74, block K70-K77, and Chapter 11. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Hepatic fibrosis, stage F2
  • Moderate hepatic fibrosis

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From K74 Fibrosis and cirrhosis of liver applies to 11 codes
  • 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)
From Block K70-K77 Diseases of liver applies to 65 codes
  • jaundice NOS (R17)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block K70-K77 Diseases of liver applies to 65 codes
From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Code First

The underlying condition named in the note is sequenced before this code.

From K74.0 Hepatic fibrosis applies to 4 codes
  • underlying liver disease, such as:
  • nonalcoholic steatohepatitis (NASH) (K75.81)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From K74 Fibrosis and cirrhosis of liver applies to 11 codes
  • if applicable, viral hepatitis (acute) (chronic) (B15-B19)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name K74.0A, its category, or a range that includes it.

Use Additional Code 1

These codes say to use an additional code from the note, and K74.0A is one of the codes named.

  • K75.81 Nonalcoholic steatohepatitis (NASH)
    code, if applicable, hepatic fibrosis (K74.0-) names K74.0-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical InformationClinical

  • Liver Fibrosis

    a condition in which the liver parenchyma is replaced by fibrous tissue. it may progress to cirrhosis of the liver.

Code History & ChangesHistory

New Code K74.0A was added to the ICD-10-CM code set for FY 2027, effective October 1, 2026.

Replacement K74.0A replaces the following previously assigned code(s):

  • K74.01 - Hepatic fibrosis, early fibrosis
FY 2027AddedAdded to the ICD-10-CM code setEffective October 1, 2026.
FY 2027CurrentRevised in the current code setEffective October 1, 2026 through September 30, 2027.

Questions About K74.0AOverview

What is the ICD-10 code for hepatic fibrosis, moderate fibrosis?

The ICD-10-CM code for hepatic fibrosis, moderate fibrosis is K74.0A (sometimes written as K740A). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is K74.0A (Hepatic fibrosis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hepatic fibrosis, moderate fibrosis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does K74.0A group to?

When hepatic fibrosis, moderate fibrosis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 433, 434, 432, with relative weights from 0.6247 to 1.9828 depending on complications. Higher weights mean higher Medicare reimbursement.

Can K74.0A be reported with K70.3?

Not as a rule. The Excludes1 note at K74, which applies to K74.0A, lists "alcoholic cirrhosis (of liver) (K70.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is coded first with K74.0A?

The Code First note at K74.0, which applies to K74.0A, reads: underlying liver disease, such as: nonalcoholic steatohepatitis (NASH) (K75.81). When one of these applies, it is sequenced before K74.0A.