ICD-10 code for biliary cirrhosis

The ICD-10-CM code for biliary cirrhosis is K74.5 (Biliary cirrhosis, unspecified). The official index lists 4 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on K74.5.

Within K74, choose K74.5 (Biliary cirrhosis, unspecified) only when documentation doesn't support a more specific option: hepatic fibrosis (K74.0), hepatic sclerosis (K74.1), hepatic fibrosis with hepatic sclerosis (K74.2), primary biliary cirrhosis (K74.3), secondary biliary cirrhosis (K74.4) and other and unspecified cirrhosis of liver (K74.6).

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.