2022 ICD-10-CM Code K74.3
Primary biliary cirrhosis
Valid for Submission
| ICD-10: | K74.3 |
| Short Description: | Primary biliary cirrhosis |
| Long Description: | Primary biliary cirrhosis |
Code Classification
K74.3 is a billable diagnosis code used to specify a medical diagnosis of primary biliary cirrhosis. The code K74.3 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code K74.3 might also be used to specify conditions or terms like autoimmune cholangitis, autoimmune hepatitis, autoimmune liver disease, biliary cirrhosis, cholangiohepatitis , cholangiohepatitis, etc.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K74.3:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Chronic nonsuppurative destructive cholangitis
- Primary biliary cholangitis
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- primary sclerosing cholangitis K83.01
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K74.3 are found in the index:
- - Cholangitis (ascending) (recurrent) (secondary) (stenosing) (suppurative) - K83.09
- - chronic nonsuppurative destructive - K74.3
- - Cirrhosis, cirrhotic (hepatic) (liver) - K74.60
- - biliary (cholangiolitic) (cholangitic) (hypertrophic) (obstructive) (pericholangiolitic) - K74.5
- - primary - K74.3
- - Charcot's - K74.3
- - cholangiolitic, cholangitic, cholostatic (primary) - K74.3
- - Hanot's (hypertrophic) - K74.3
- - hypertrophic - K74.3
- - monolobular - K74.3
- - Todd's - K74.3
- - unilobar - K74.3
- - biliary (cholangiolitic) (cholangitic) (hypertrophic) (obstructive) (pericholangiolitic) - K74.5
- - Hanot's cirrhosis or disease - K74.3
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Autoimmune cholangitis
- Autoimmune hepatitis
- Autoimmune liver disease
- Biliary cirrhosis
- Cholangiohepatitis
- Cholangiohepatitis
- Cholangiolitic cirrhosis
- Cholangiolitis
- Fibrosis of bile duct
- Florid cirrhosis
- Limited systemic sclerosis
- Primary biliary cholangitis
- Progressive systemic sclerosis
- Reynolds syndrome
- Systemic sclerosis with limited cutaneous involvement
Clinical Information
- LIVER CIRRHOSIS BILIARY-. fibrosis of the hepatic parenchyma due to obstruction of bile flow cholestasis in the intrahepatic or extrahepatic bile ducts bile ducts intrahepatic; bile ducts extrahepatic. primary biliary cholangitis involves the destruction of small intra hepatic bile ducts and decreased bile secretion. secondary biliary cholangitis is produced by prolonged obstruction of large intrahepatic or extrahepatic bile ducts from a variety of causes.
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code K74.3 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 07 | 1.8821 |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 07 | 1.0285 |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | 07 | 0.6196 |
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 K74.3 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code K74.3 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 571.6 - Biliary cirrhosis (Approximate Flag)
Information for Patients
Bile Duct Diseases
Your liver makes a digestive juice called bile. Your gallbladder stores it between meals. When you eat, your gallbladder pushes the bile into tubes called bile ducts. They carry the bile to your small intestine. The bile helps break down fat. It also helps the liver get rid of toxins and wastes.
Different diseases can block the bile ducts and cause a problem with the flow of bile:
- Gallstones, which can increase pressure in the gallbladder and cause a gallbladder attack. The pain usually lasts from one to several hours.
- Cancer
- Infections
- Birth defects, such as biliary atresia. It is the most common reason for liver transplants in children in the United States.
- Inflammation, which can cause scarring. Over time, this can lead to liver failure.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
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]
Primary Biliary Cholangitis (Primary Biliary Cirrhosis) Learn about symptoms, diagnosis, and treatment of primary biliary cholangitis, in which the small bile ducts in the liver become inflamed and are destroyed.
[Learn More in MedlinePlus]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)