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K75.3

K75.3Granulomatous hepatitis, not elsewhere classified

Billable / specific codeICD-10-CM

K75.3 is a billable, specific ICD-10-CM code for granulomatous hepatitis, not elsewhere classified. It is valid for submission on a claim.

Excludes1 — never code together

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

  • acute or subacute hepatitis (K72.0-)
  • chronic hepatitis NEC (K73.-)
  • viral hepatitis (B15-B19)

Other codes that can never be billed with K75.3

These codes carry an Excludes1 note pointing at K75.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K75.3 alone.

  • K73Chronic hepatitis, not elsewhere classified

Risk adjustment

K75.3 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

K75.3 is named in 3 Medicare coverage policies 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56669Billing and Coding: Hospice - Liver Disease
  • A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies

How K75.3 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 K75.3.

  • Granulomahepatic NEC
  • Hepatitisgranulomatous NEC

Related codes at this level

Codes that share K75. If K75.3 is not quite right, the correct code is usually one of these.

Questions about K75.3

Is K75.3 a billable ICD-10-CM code?
Yes. K75.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K75.3 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 K75.3?
K75.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.