ICD-10 · PDGM grouping
K74 Fibrosis and cirrhosis of liver
All 11 codes in the K74 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
11
Can lead a claim
7
Cannot lead a claim
4
What CMS assigns to K74
7 of the 11 codes group to MMTA - Gastrointestinal tract and Genitourinary system; 4 are assigned no clinical group. All 11 count toward the Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver comorbidity subgroup. 7 of the 11 can lead a claim. CMS attaches a code-first note to 4 of the 11.
- Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver
Code first
CMS grouper convention 103, on K74.00, K74.01, K74.0A, K74.02. Code first:
- nonalcoholic steatohepatitis (NASH) (K75.81)
- underlying liver disease, such as:
Every code in K74
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| K74.0 Hepatic fibrosis | ||||
| K74.00 | Hepatic fibrosis, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.01 | Hepatic fibrosis, early fibrosis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.0A | Hepatic fibrosis, moderate fibrosis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.02 | Hepatic fibrosis, advanced fibrosis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.1 | Hepatic sclerosis | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.2 | Hepatic fibrosis with hepatic sclerosis | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.3 | Primary biliary cirrhosis | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.4 | Secondary biliary cirrhosis | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.5 | Biliary cirrhosis, unspecified | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.6 Other and unspecified cirrhosis of liver | ||||
| K74.60 | Unspecified cirrhosis of liver | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K74.69 | Other cirrhosis of liver | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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