Hepatic fibrosis
ICD-10 K74.0 is a used to indicate a diagnosis of hepatic fibrosis.
Hepatic fibrosis is a progressive condition characterized by the excessive accumulation of extracellular matrix proteins, leading to the scarring of liver tissue. This condition often arises from chronic liver diseases, such as hepatitis B and C infections, alcoholic liver disease, and non-alcoholic fatty liver disease (NAFLD). Clinically, patients may present with fatigue, jaundice, ascites, and splenomegaly, although many remain asymptomatic in the early stages. The liver anatomy involved includes hepatocytes, portal tracts, and the hepatic sinusoids, where fibrosis disrupts normal architecture and function. Disease progression can lead to cirrhosis and liver failure if not managed appropriately. Diagnostic considerations include liver function tests, imaging studies such as ultrasound or MRI, and liver biopsy to assess the degree of fibrosis. Non-invasive methods like elastography are also increasingly used to evaluate liver stiffness as a surrogate marker for fibrosis severity.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K74.0 specifically covers hepatic fibrosis without mention of cirrhosis. It includes fibrosis resulting from chronic liver diseases such as hepatitis, alcohol-related liver disease, and metabolic liver disorders.
K74.0 should be used when the diagnosis is specifically hepatic fibrosis without cirrhosis. If cirrhosis is present, K74.2 should be used instead.
Documentation should include liver biopsy results, imaging studies indicating fibrosis, and clinical notes detailing the patient's history of liver disease and current symptoms.
