Is R74.01 a billable ICD-10-CM code?

Yes. R74.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R74.01 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of blood, without diagnosis (R70-R79).

R74.01

R74.01 — Elevation of levels of liver transaminase levels

Billable / specific codeICD-10-CM

R74.01 is a billable, specific ICD-10-CM code for elevation of levels of liver transaminase levels. It is valid for submission on a claim.

Inclusion terms

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

Elevation of levels of alanine transaminase (ALT)
Elevation of levels of aspartate transaminase (AST)

Risk adjustment

R74.01 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

R74.01 is named in 11 Medicare coverage policies — 11 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
A56697Billing and Coding: Non-Invasive Vascular Studies
A56758Billing and Coding: Non-Invasive Vascular Studies
A60204Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis

How R74.01 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 R74.01.

Transaminasemia
Elevated, elevation›alanine transaminase(ALT)
Elevated, elevation›ALT(alanine transaminase)
Elevated, elevation›aspartate transaminase(AST)
Elevated, elevation›AST(aspartate transaminase)
Elevated, elevation›SGOT
Elevated, elevation›SGPT
Elevated, elevation›transaminase level
Findings, abnormal, inconclusive, without diagnosis›SGOT
Findings, abnormal, inconclusive, without diagnosis›SGPT
Findings, abnormal, inconclusive, without diagnosis›transaminase(level)
Elevated, elevation›liver function›test›aminotransferase

Related codes at this level

Codes that share R74.0. If R74.01 is not quite right, the correct code is usually one of these.

R74.02Elevation of levels of lactic acid dehydrogenase [LDH]

Questions about R74.01

Is R74.01 a billable ICD-10-CM code?: Yes. R74.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R74.01 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of blood, without diagnosis (R70-R79).