ICD-10-CM Code K74.3

Primary biliary cirrhosis

Version 2020 Billable Code

Valid for Submission

K74.3 is a billable code used to specify a medical diagnosis of primary biliary cirrhosis. The code is valid for the year 2020 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 liver disease, biliary cirrhosis, cholangiohepatitis, cholangiolitic cirrhosis, cholangiolitis, fibrosis of bile duct, etc

ICD-10:K74.3
Short Description:Primary biliary cirrhosis
Long Description:Primary biliary cirrhosis

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K74.3:

Inclusion Terms

Inclusion Terms
These 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 Excludes
A 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:


Synonyms

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

  • Autoimmune liver disease
  • Biliary cirrhosis
  • Cholangiohepatitis
  • Cholangiolitic cirrhosis
  • Cholangiolitis
  • Fibrosis of bile duct
  • Florid cirrhosis
  • Primary biliary cholangitis
  • Progressive systemic sclerosis
  • Reynolds syndrome

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 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

The ICD-10 code K74.3 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

  • 432 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
  • 433 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
  • 434 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC

Convert K74.3 to ICD-9

  • 571.6 - Biliary cirrhosis (Approximate Flag)

Code Classification

  • Diseases of the digestive system (K00–K93)
    • Diseases of liver (K70-K77)
      • Fibrosis and cirrhosis of liver (K74)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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


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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]