ICD-10 · PDGM grouping
K76 Other diseases of liver
All 13 codes in the K76 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
13
Can lead a claim
12
Cannot lead a claim
1
What CMS assigns to K76
12 of the 13 codes group to MMTA - Gastrointestinal tract and Genitourinary system (8), MMTA - Other (3) and Neuro Rehabilitation (1); 1 is assigned no clinical group. Comorbidity subgroups: 5 toward Other Disorders of the Liver; 2 toward Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver; 2 toward Hepatic Failure and Other Inflammatory Liver Disorders; 4 are assigned none. 12 of the 13 can lead a claim. CMS attaches a code-first note to 1 of the 13.
- Other Disorders of the Liver
- Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver
- Hepatic Failure and Other Inflammatory Liver Disorders
Code first
CMS grouper convention 104, on K76.81. Code first:
- alcoholic cirrhosis of liver (K70.3-)
- cirrhosis of liver without mention of alcohol (K74.6-)
- underlying liver disease, such as:
Every code in K76
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 |
|---|---|---|---|---|
| K76.0 | Fatty (change of) liver, not elsewhere classified | Can lead a claim | J | Alcoholic Liver Disease, Chronic Hepatitis, Fibrosis and Cirrhosis of the Liver |
| K76.1 | Chronic passive congestion of liver | Can lead a claim | J | Other Disorders of the Liver |
| K76.2 | Central hemorrhagic necrosis of liver | Can lead a claim | A | None |
| K76.3 | Infarction of liver | Can lead a claim | J | None |
| K76.4 | Peliosis hepatis | Can lead a claim | A | None |
| K76.5 | Hepatic veno-occlusive disease | Can lead a claim | A | Other Disorders of the Liver |
| K76.6 | Portal hypertension | Can lead a claim | J | Hepatic Failure and Other Inflammatory Liver Disorders |
| K76.7 | Hepatorenal syndrome | Can lead a claim | J | Hepatic Failure and Other Inflammatory Liver Disorders |
| K76.8 Other specified diseases of liver | ||||
| K76.81 | Hepatopulmonary syndrome | Can lead a claim, code first applies | J | Other Disorders of the Liver |
| K76.82 | Hepatic encephalopathy | Can lead a claim | B | None |
| K76.83 | Intestinal failure-associated liver disease | Can lead a claim | J | Other Disorders of the Liver |
| K76.89 | Other specified diseases of liver | Can lead a claim | J | Other Disorders of the Liver |
| K76.9 | Liver disease, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | 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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