K74.02

K74.02: Hepatic fibrosis, advanced fibrosis

Billable / specific codeICD-10-CM

K74.02 is a billable, specific ICD-10-CM code for hepatic fibrosis, advanced fibrosis. It is valid for submission on a claim.

Check K74.02 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

cirrhosis of liver (K74.6-)
hepatic fibrosis, stage F4 (K74.6-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Hepatic fibrosis, stage F3

Excludes1 inherited from the categories above K74.02

A category’s note binds every code beneath it.

Written on K74: Fibrosis and cirrhosis of liver

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)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K74.02 is named in 20 Medicare coverage policies: 20 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56416Billing and Coding: Assays for Vitamins and Metabolic Function
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56461Billing and Coding: Endoscopy by Capsule
A56697Billing and Coding: Non-Invasive Vascular Studies

Alphabetic index entries that lead here

Fibrosis, fibrotic›liver›advanced
Fibrosis, fibrotic›liver›stage›F3

Code history

Unchanged in every release from FY2024 to FY2027.