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ICD-10 Guide
ICD-10 CodesChapter 11: Diseases of the digestive systemK74

K74

Non-billable

Fibrosis and cirrhosis of liver

Chapter 11:Diseases of the digestive system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K74 is a used to indicate a diagnosis of fibrosis and cirrhosis of liver.

Key Diagnostic Point:

K74 encompasses fibrosis and cirrhosis of the liver, conditions characterized by the progressive replacement of healthy liver tissue with scar tissue (fibrosis) and the eventual development of cirrhosis, which can lead to liver failure. Clinically, patients may present with symptoms such as fatigue, jaundice, ascites, and abdominal pain. The liver, a vital organ involved in metabolism, detoxification, and synthesis of proteins, can be severely impacted by these conditions. Disease progression typically follows a chronic course, often stemming from underlying causes such as chronic hepatitis B or C infection, alcohol abuse, or non-alcoholic fatty liver disease (NAFLD). Diagnostic considerations include liver function tests, imaging studies (ultrasound, CT, MRI), and liver biopsy to assess the degree of fibrosis. Early detection and management are crucial to prevent complications such as portal hypertension and hepatocellular carcinoma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of liver function and potential underlying causes.
  • Treatment complexity: Management may involve lifestyle changes, medications, and possibly liver transplantation.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate between stages of fibrosis and cirrhosis.

Audit Risk Factors

  • Common coding errors: Misclassification of the stage of liver disease.
  • Documentation gaps: Incomplete records regarding the patient's history and treatment.
  • Billing challenges: Potential denials due to insufficient documentation or coding errors.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Hepatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K74 lies in its association with increased morbidity and mortality due to liver-related complications. The prevalence of liver fibrosis and cirrhosis is rising globally, impacting population health and healthcare utilization patterns. Effective management and early intervention can improve quality measures and reduce the burden on healthcare systems. Epidemiologically, understanding the risk factors and demographics associated with these conditions is crucial for public health initiatives aimed at prevention and education.

ICD-9 vs ICD-10

The clinical significance of K74 lies in its association with increased morbidity and mortality due to liver-related complications. The prevalence of liver fibrosis and cirrhosis is rising globally, impacting population health and healthcare utilization patterns. Effective management and early intervention can improve quality measures and reduce the burden on healthcare systems. Epidemiologically, understanding the risk factors and demographics associated with these conditions is crucial for public health initiatives aimed at prevention and education.

Reimbursement & Billing Impact

The clinical significance of K74 lies in its association with increased morbidity and mortality due to liver-related complications. The prevalence of liver fibrosis and cirrhosis is rising globally, impacting population health and healthcare utilization patterns. Effective management and early intervention can improve quality measures and reduce the burden on healthcare systems. Epidemiologically, understanding the risk factors and demographics associated with these conditions is crucial for public health initiatives aimed at prevention and education.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K74?

K74 covers various stages of liver fibrosis and cirrhosis, including compensated and decompensated cirrhosis, as well as specific types of fibrosis related to chronic liver diseases.

When should K74 be used instead of related codes?

K74 should be used when there is clear evidence of liver fibrosis or cirrhosis, particularly when differentiating from other liver conditions such as hepatitis or fatty liver disease.

What documentation supports K74?

Documentation should include liver function test results, imaging studies, biopsy reports, and a thorough history of the patient's liver disease progression and treatment.