K74.02 — Hepatic fibrosis, advanced fibrosis
K74.02 is a billable, specific ICD-10-CM code for hepatic fibrosis, advanced fibrosis. It is valid for submission on a claim.
Risk adjustment
K74.02 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
K74.02 is named in 21 Medicare coverage policies — 21 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56461Billing and Coding: Endoscopy by Capsule
- A56461Billing and Coding: Endoscopy by Capsule
How K74.02 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K74.02.
- Fibrosis, fibrotic›liver›advanced
- Fibrosis, fibrotic›liver›stage›F3
Related codes at this level
Codes that share K74.0. If K74.02 is not quite right, the correct code is usually one of these.
Questions about K74.02
- Is K74.02 a billable ICD-10-CM code?
- Yes. K74.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K74.02 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of liver (K70-K77).
- What cannot be coded together with K74.02?
- K74.02 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.