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v1.0.0
ICD-10 Guide
DiagnosesLiver Fibrosis

Liver Fibrosis

ICD-10 Coding for Liver Fibrosis(K74.00, K74.01, K74.02)

PRIMARY SPECIALTYGastroenterology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Liver Fibrosis?
Essential facts and insights about Liver Fibrosis

Key Clinical Considerations:

  • Fatigue, jaundice, ascites, and pruritus
  • Liver biopsy showing fibrosis, imaging studies (e.g., elastography) indicating stiffness
  • Hepatomegaly, splenomegaly, and signs of portal hypertension

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history, physical examination findings, laboratory results, imaging studies, and treatment plans
  • ICD-10 terminology such as 'Liver Fibrosis', 'Chronic Liver Disease', and 'Cirrhosis'
  • Example: 'Patient diagnosed with liver fibrosis secondary to chronic hepatitis C, confirmed by biopsy.'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use specific codes based on the underlying cause of liver fibrosis.
  • Common errors: Misclassifying liver fibrosis as cirrhosis without proper documentation.

Code Exclusions

Important Exclusions

  • Acute liver failure, liver cancer, and other liver diseases not related to fibrosis
  • Alternative codes for cirrhosis or liver disease without fibrosis

Related ICD-10 Codes

Primary Codes
K74.60
Unspecified fibrosis of liver
K74.69
Other fibrosis of liver
Differential Codes
K74.6-
K74.02
F3-
F4
.
K74.01

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

  • Patients with chronic liver diseases, including hepatitis and alcoholic liver disease
  • Gastroenterology clinics, hospitals, and outpatient settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, lab results, and imaging findings.

Billing considerations?

Ensure accurate coding to reflect the severity and underlying cause of fibrosis.