2026 ICD-10-CM Diagnosis Code K74.02Hepatic fibrosis, advanced fibrosis
ICD-10-CM Codes›K00–K95›K70-K77›K74
- Billable — Valid for Submission
- Not a Principal Diagnosis
- Chronic Condition
K74.02 is a billable ICD-10-CM diagnosis code for hepatic fibrosis, advanced fibrosis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) 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 3 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 K74.02.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Chronic hepatitis C with stage 3 fibrosis
- Stage 3 hepatic fibrosis
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Hepatic fibrosis, stage F3
Type 1 Excludes
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.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Fibrosis, fibrotic
- liver
- advanced
- Fibrosis, fibrotic
- liver
- stage
- F3
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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
Replacement K74.02 replaces the following previously assigned code(s):
- K74.0 - Hepatic fibrosis
Questions About K74.02Overview
Is K74.02 (Hepatic fibrosis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hepatic fibrosis, advanced fibrosis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does K74.02 group to?
On inpatient claims, hepatic fibrosis, advanced fibrosis maps to MS-DRG 432, 433, 434, with relative weights from 0.7125 to 1.9682 depending on complications. Higher weights mean higher Medicare reimbursement.
Can K74.02 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because hepatic fibrosis, advanced fibrosis describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
