ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K70.30

Billable / Specific HCC v28: 28

Alcoholic cirrhosis of liver without ascites

K70
Block
0
Synonyms
221
LCDs
22
Payer Policies
1
Linked CPTs

About ICD-10-CM K70.30

ICD-10-CM code K70.30 represents Alcoholic cirrhosis of liver without ascites. This is a billable/specific code in the Digestive System chapter (block K70). The 2026 edition of ICD-10-CM K70.30 became effective on October 1, 2025.

Coding Tips for K70.30

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

K70.30 is a CMS-HCC v28 risk-adjustment code (category 28). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 28
ESRD-HCC
Category 28
RxHCC (Part D)
Category 28

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for K70.30

Local Coverage Determinations (LCDs) from CMS MACs that list K70.30 as a covered diagnosis.

221 LCDs

Showing top 10 of 221 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82652 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K70.30.

22 policies

3 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
Serum Folate and Red Blood Cell Folate Testing - (0567)
Policy ID: MM_0567
Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Endoscopy by Capsule
Policy ID: ART-56461
Billing and Coding: Hospice - Liver Disease
Policy ID: ART-56669
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56697

CPT Codes Commonly Billed with K70.30

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 99215 Established patient — high complexity: HF exacerbation, COPD exacerbation, cancer management, MS, advanced CKD, uncontrolled diabetes, recurrent syncope, respiratory failure, liver cirrhosis Primary Care

Convert K70.30 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
K70.30 5712 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 K70.30, Billing FAQ

Is ICD-10 code K70.30 billable? +

Yes, K70.30 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does K70.30 affect Medicare Advantage HCC risk adjustment? +

Yes. K70.30 maps to CMS-HCC v28 category 28. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with K70.30? +

Procedures frequently paired with K70.30 include: 99215.

What ICD-9 codes does K70.30 map to? +

Per CMS GEMs, K70.30 maps to ICD-9 codes: 5712. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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