ICD-10-CM 2027
ICD-10 code for liver sclerosis
From the official ICD-10-CM alphabetic index entry “Sclerosis, sclerotic › liver”. Page updated September 29, 2026.
About coding liver sclerosis
The ICD-10-CM code for liver sclerosis is K74.1 (Hepatic sclerosis). The official index lists 4 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on K74.1.
Within K74 (fibrosis and cirrhosis of liver), K74.1 is specifically for hepatic sclerosis. Related codes cover hepatic fibrosis (K74.0), hepatic fibrosis with hepatic sclerosis (K74.2), primary biliary cirrhosis (K74.3), secondary biliary cirrhosis (K74.4), biliary cirrhosis, unspecified (K74.5) 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 441 (Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC, relative weight 1.8219), DRG 442 (Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC, relative weight 0.9602) and DRG 443 (Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC, relative weight 0.6885), 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.
More specific liver sclerosis codes (official index)
Common questions about liver sclerosis ICD-10 codes
What is the ICD-10 code for liver sclerosis?
- K74.1 — Hepatic sclerosis. More specific codes apply when the documentation supports them: K74.2, K70.2, K70.2, K76.1.
What is the ICD-10 code for alcoholic liver sclerosis?
- K70.2 — Alcoholic fibrosis and sclerosis of liver.
What is the ICD-10 code for cardiac liver sclerosis?
- K76.1 — Chronic passive congestion of liver.
Is K74.1 billable?
- Yes. K74.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can K74.1 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict K74.1 as a principal diagnosis.
Is K74.1 a CC or MCC?
- No. K74.1 is neither a CC nor an MCC under MS-DRG v44.0.