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

ICD-10 K74.02

Billable / Specific

Hepatic fibrosis, advanced fibrosis

K74
Block
1
Synonyms
178
LCDs
19
Payer Policies
5
Linked CPTs

About ICD-10-CM K74.02

ICD-10-CM code K74.02 represents Hepatic fibrosis, advanced fibrosis. This is a billable/specific code in the Digestive System chapter (block K74). The 2026 edition of ICD-10-CM K74.02 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K74.02. Per CMS ICD-10-CM Tabular 2026.

  • Hepatic fibrosis, stage F3

Type 1 Excludes

Pure excludes, these codes can never be coded together with K74.02. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • cirrhosis of liver (K74.6-)
  • hepatic fibrosis, stage F4 (K74.6-)

Medicare LCD Coverage for K74.02

Local Coverage Determinations (LCDs) from CMS MACs that list K74.02 as a covered diagnosis.

178 LCDs

Showing top 10 of 178 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: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Article ID: 60305, Effective: , 23 covered, 0 non-covered
CPT 81479 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K74.02.

19 policies

1 Cigna

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: Non-Invasive Vascular Studies
Policy ID: ART-56697
Billing and Coding: Wireless Capsule Endoscopy
Policy ID: ART-56727

2 Aetna

Capsule Endoscopy
Policy ID: CPB-0588
Upper Gastrointestinal Endoscopy and Gastrointestinal Biopsy
Policy ID: CPB-0738

CPT Codes Commonly Billed with K74.02

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

5 linkages
  • 0003M CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
  • 0468U CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
  • 0166U CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
  • 81517 CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
  • 0344U CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD

ICD-10 K74.02, Billing FAQ

Is ICD-10 code K74.02 billable? +

Yes, K74.02 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to K74.02? +

ICD-10 K74.02 includes: Hepatic fibrosis, stage F3.

What codes are Type 1 Excludes for K74.02? +

Type 1 Excludes (never code together with K74.02): cirrhosis of liver (K74.6-); hepatic fibrosis, stage F4 (K74.6-)

What CPT codes are commonly billed with K74.02? +

Procedures frequently paired with K74.02 include: 0003M, 0468U, 0166U, 81517, 0344U.

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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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