2027 ICD-10-CM Diagnosis Code K74.1Hepatic sclerosis

ICD-10-CM Codes›K00–K95›K70-K77›K74

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

K74.1 is a billable ICD-10-CM diagnosis code for hepatic sclerosis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 441 through 443. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified liver disease.

Code Identity

ICD-10-CM Code
K74.1
Billable Status
Yes — Valid for Submission
Code Describes
Hepatic sclerosis
Short Description
Hepatic sclerosis
Same as the full description in the CMS dataset.
Parent Code
K74
Fibrosis and cirrhosis of liver

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK70-K77Diseases of liver
CategoryK74Fibrosis and cirrhosis of liver
This CodeK74.1Hepatic sclerosis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hepatic sclerosis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K74.1: its own notes plus those printed at K74, block K70-K77, and Chapter 11. A note printed at a category, block or chapter applies to every code under it.

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 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.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG019
Other specified and unspecified liver disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hepatic Sclerosis

    a thickening of the liver parenchyma. hepatic sclerosis, fibrosis and cirrhosis may exist along a continuum.

Patient EducationClinical

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 :

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K74.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
571.9 Chronic liver dis NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About K74.1Overview

What is the ICD-10 code for hepatic sclerosis?

The ICD-10-CM code for hepatic sclerosis is K74.1 (sometimes written as K741). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is K74.1 (Fibrosis and cirrhosis of liver) a billable code?

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

What MS-DRG does K74.1 group to?

When hepatic sclerosis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 442, 441, 443, with relative weights from 0.6890 to 1.8226 depending on complications. Higher weights mean higher Medicare reimbursement.

Can K74.1 be reported with K70.3?

Not as a rule. The Excludes1 note at K74, which applies to K74.1, 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 the ICD-9 equivalent of K74.1?

Under the General Equivalence Mappings, hepatic sclerosis converts to ICD-9-CM 571.9 (chronic liver dis NOS). The mapping is approximate, so confirm the match fits the documentation.