K76.1 — Chronic passive congestion of liver
K76.1 is a billable, specific ICD-10-CM code for chronic passive congestion of liver. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cardiac cirrhosis
- Cardiac sclerosis
Other codes that can never be billed with K76.1
These codes carry an Excludes1 note pointing at K76.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K76.1 alone.
- K74Fibrosis and cirrhosis of liver
Risk adjustment
K76.1 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
K76.1 is named in 2 Medicare coverage policies — 2 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
- A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
How K76.1 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 K76.1.
- Nutmeg liver
- Cirrhosis, cirrhotic›cardiac(of liver)
- Cirrhosis, cirrhotic›congestive
- Cirrhosis, cirrhotic›stasis
- Congestion, congestive›hepatic
- Congestion, congestive›liver
- Stasis›liver(cirrhotic)
- Sclerosis, sclerotic›liver›cardiac
Related codes at this level
Codes that share K76. If K76.1 is not quite right, the correct code is usually one of these.
Questions about K76.1
- Is K76.1 a billable ICD-10-CM code?
- Yes. K76.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K76.1 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of liver (K70-K77).