2027 ICD-10-CM Diagnosis Code K74.01Hepatic fibrosis, early fibrosis
ICD-10-CM Codes›K00–K95›K70-K77›K74
- Billable — Valid for Submission
- Not a Principal Diagnosis
- Chronic Condition
K74.01 is a billable ICD-10-CM diagnosis code for hepatic fibrosis, early 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. The code is not accepted as a principal diagnosis by the Medicare Code Editor. Coders also document this condition as chronic hepatitis C with stage 2 fibrosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified liver disease.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for K74.01.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Chronic hepatitis C with stage 2 fibrosis
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to K74.01: 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 F1
- Mild hepatic fibrosis
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- 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.
- 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.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name K74.01, its category, or a range that includes it.
Use Additional Code 1
These codes say to use an additional code from the note, and K74.01 is one of the codes named.
Index to Diseases and InjuriesGuidance
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Liver Fibrosis
a condition in which the liver parenchyma is replaced by fibrous tissue. it may progress to cirrhosis of the liver.
Patient EducationClinical
Liver Diseases
Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code History & ChangesHistory
Replaced This code was replaced in the FY 2027 code set by:
- K74.0A - Hepatic fibrosis, moderate fibrosis
Replacement K74.01 replaces the following previously assigned code(s):
- K74.0 - Hepatic fibrosis
Questions About K74.01Overview
What is the ICD-10 code for hepatic fibrosis, early fibrosis?
The ICD-10-CM code for hepatic fibrosis, early fibrosis is K74.01 (sometimes written as K7401). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is K74.01 (Hepatic fibrosis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hepatic fibrosis, early fibrosis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does K74.01 group to?
On inpatient claims, hepatic fibrosis, early fibrosis maps 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 K74.01 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because hepatic fibrosis, early fibrosis describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Can K74.01 be reported with K70.3?
Not as a rule. The Excludes1 note at K74, which applies to K74.01, 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).
