Fibrosis and cirrhosis of liver (K74)
The ICD-10 code K74 covers conditions related to fibrosis and cirrhosis of the liver, including a range of liver scarring diseases that impair normal liver function. These codes are used to classify various stages and causes of liver fibrosis and cirrhosis in medical records.
This section includes codes for hepatic fibrosis (K74.0), which describes scarring of the liver tissue, with subcategories like early fibrosis (K74.01) and advanced fibrosis (K74.02). It also covers hepatic sclerosis (K74.1) and combinations of fibrosis with sclerosis (K74.2). For cirrhosis related to bile duct damage, codes for primary biliary cirrhosis (K74.3), also known as autoimmune liver disease or primary biliary cholangitis, and secondary biliary cirrhosis (K74.4) are included. Biliary cirrhosis unspecified is coded under K74.5. The section further includes other and unspecified cirrhosis types (K74.6), with distinctions for unspecified (K74.60) and other specific cirrhosis forms (K74.69), covering conditions such as Laennec's cirrhosis, cryptogenic cirrhosis, and cirrhosis secondary to infections or metabolic disorders. These codes assist coders in accurately documenting liver scarring disorders, helping to identify conditions like non-alcoholic fatty liver disease, chronic hepatitis, and various autoimmune or parasitic etiologies.
Diseases of the digestive system (K00–K95)
Diseases of liver (K70-K77)
K74 Fibrosis and cirrhosis of liver
K74.0 Hepatic fibrosis
- K74.00 Hepatic fibrosis, unspecified
- K74.01 Hepatic fibrosis, early fibrosis
- K74.02 Hepatic fibrosis, advanced fibrosis
- K74.1 Hepatic sclerosis
- K74.2 Hepatic fibrosis with hepatic sclerosis
- K74.3 Primary biliary cirrhosis
- K74.4 Secondary biliary cirrhosis
- K74.5 Biliary cirrhosis, unspecified
K74.6 Other and unspecified cirrhosis of liver
- K74.60 Unspecified cirrhosis of liver
- K74.69 Other cirrhosis of liver
Fibrosis and cirrhosis of liver (K74)
Instructional Notations
Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
Type 1 Excludes
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.
- 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
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
Clonorchiasis
Infection of the biliary passages with CLONORCHIS SINENSIS, also called Opisthorchis sinensis. It may lead to inflammation of the biliary tract, proliferation of biliary epithelium, progressive portal fibrosis, and sometimes bile duct carcinoma. Extension to the liver may lead to fatty changes and cirrhosis. (From Dorland, 27th ed)
Clonorchis sinensis
A species of trematode flukes of the family Opisthorchidae. Many authorities consider this genus belonging to Opisthorchis. It is common in China and other Asiatic countries. Snails and fish are the intermediate hosts.
Opisthorchiasis
Infection with flukes of the genus Opisthorchis.
