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ICD-10-CM 2027 diagnosis code

K74.0AHepatic fibrosis, moderate fibrosis

✓ Billable / specificNew for 2027

K74.0A is a valid, billable ICD-10-CM code for hepatic fibrosis, moderate fibrosis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code last changed in FY2027 (effective October 1, 2026). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About K74.0A

K74.0A is the ICD-10-CM diagnosis code for hepatic fibrosis, moderate fibrosis. It belongs to category K74 (fibrosis and cirrhosis of liver), block K70-K77 (diseases of liver) and chapter 11 (diseases of the digestive system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within K74.0 (hepatic fibrosis), K74.0A is specifically for hepatic fibrosis, moderate fibrosis. Related codes cover unspecified (K74.00), early fibrosis (K74.01) and advanced fibrosis (K74.02).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 432 (Cirrhosis and Alcoholic Hepatitis with MCC, relative weight 1.9828), DRG 433 (Cirrhosis and Alcoholic Hepatitis with CC, relative weight 1.0397) and DRG 434 (Cirrhosis and Alcoholic Hepatitis without CC/MCC, relative weight 0.6413), in MDC 07 (Diseases and Disorders of the Hepatobiliary System and Pancreas), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2027, effective October 1, 2026.

Coding notes

Applicable toConditions and synonyms classified to this code
  • Hepatic fibrosis, stage F2
  • Moderate hepatic fibrosis

Notes that apply from higher levels

Instructions written at a parent level also apply to K74.0A.

› From K74.0 Hepatic fibrosis
Code first
  • underlying liver disease, such as:
  • nonalcoholic steatohepatitis (NASH) (K75.81)
› From K74 Fibrosis and cirrhosis of liver
Excludes1
  • alcoholic cirrhosis (of liver) (K70.3)
  • alcoholic fibrosis of liver (K70.2)
  • cardiac sclerosis of liver (K76.1)
  • cirrhosis (of liver) with toxic liver disease (K71.7)
  • congenital cirrhosis (of liver) (P78.81)
  • pigmentary cirrhosis (of liver) (E83.110)
Code also
  • , if applicable, viral hepatitis (acute) (chronic) (B15-B19)

Broader instructions also apply from K70-K77 Diseases of liver and Chapter 11: Diseases of the digestive system.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to K74.0A.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2027 (effective 10/1/2026): Added

Common questions about K74.0A

Is K74.0A billable?

Yes. K74.0A is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can K74.0A be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict K74.0A as a principal diagnosis.

Is K74.0A a CC or MCC?

No. K74.0A is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does K74.0A group to?

K74.0A is used in the MS-DRG v44.0 logic for MS-DRG 432 (Cirrhosis and Alcoholic Hepatitis with MCC), MS-DRG 433 (Cirrhosis and Alcoholic Hepatitis with CC) and MS-DRG 434 (Cirrhosis and Alcoholic Hepatitis without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

Did K74.0A change for 2027?

Yes. For FY2027 (effective October 1, 2026) it was added to the code set.