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

ICD-10 K76.4

Billable / Specific

Peliosis hepatis

K76
Block
1
Synonyms
17
LCDs
4
Payer Policies
1
Linked CPTs

About ICD-10-CM K76.4

ICD-10-CM code K76.4 represents Peliosis hepatis. This is a billable/specific code in the Digestive System chapter (block K76). The 2026 edition of ICD-10-CM K76.4 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K76.4. Per CMS ICD-10-CM Tabular 2026.

  • Hepatic angiomatosis

Medicare LCD Coverage for K76.4

Local Coverage Determinations (LCDs) from CMS MACs that list K76.4 as a covered diagnosis.

17 LCDs

Showing top 10 of 17 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: Non-Invasive Abdominal / Visceral Vascular Studies
Article ID: 57591, Effective: 2026-03-26 00:00:00, 523 covered, 0 non-covered
CPT 93978 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K76.4.

4 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

3 Medicare

Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Hospice - Liver Disease
Policy ID: ART-56669
Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
Policy ID: ART-57591

CPT Codes Commonly Billed with K76.4

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

1 linkages
  • 47562 Liver biopsy Gastroenterology

Convert K76.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
K76.4 5733 10000

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

ICD-10 K76.4, Billing FAQ

Is ICD-10 code K76.4 billable? +

Yes, K76.4 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 K76.4? +

ICD-10 K76.4 includes: Hepatic angiomatosis.

What CPT codes are commonly billed with K76.4? +

Procedures frequently paired with K76.4 include: 47562.

What ICD-9 codes does K76.4 map to? +

Per CMS GEMs, K76.4 maps to ICD-9 codes: 5733. 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 June 1, 2026.

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