K74.69
K74.69: Other cirrhosis of liver
Billable / specific codeICD-10-CM
K74.69 is a billable, specific ICD-10-CM code for other cirrhosis of liver. It is valid for submission on a claim.
Check K74.69 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cryptogenic cirrhosis (of liver)
- Macronodular cirrhosis (of liver)
- Micronodular cirrhosis (of liver)
- Mixed type cirrhosis (of liver)
- Portal cirrhosis (of liver)
- Postnecrotic cirrhosis (of liver)
Excludes1 inherited from the categories above K74.69
A category’s note binds every code beneath it.
Risk adjustment
K74.69 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 64 Cirrhosis of Liver0.447 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
K74.69 is named in 18 Medicare coverage policies: 18 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
- A56669Billing and Coding: Hospice - Liver Disease
Alphabetic index entries that lead here
- Baumgarten-Cruveilhier cirrhosis, disease or syndrome
- Cruveilhier-Baumgarten cirrhosis, disease or syndrome
- Cirrhosis, cirrhotic›Baumgarten-Cruveilhier
- Cirrhosis, cirrhotic›Cruveilhier-Baumgarten
- Cirrhosis, cirrhotic›cryptogenic(liver)
- Cirrhosis, cirrhotic›Indian childhood
- Cirrhosis, cirrhotic›macronodular
- Cirrhosis, cirrhotic›micronodular
- Cirrhosis, cirrhotic›mixed type
- Cirrhosis, cirrhotic›nutritional
- Cirrhosis, cirrhotic›portal
- Cirrhosis, cirrhotic›postnecrotic
Code history
Unchanged in every release from FY2024 to FY2027.