AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; New/Revised ICD-10-CM Codes
Hepatic Fibrosis
Code K74.0, Hepatic fibrosis, has been expanded, with specific codes to identify unspecified hepatic fibrosis, as well as early and advanced hepatic fibrosis. The new codes are as follows:K74.00 Hepatic fibrosis, unspecified K74.01 Hepatic fibrosis, early fibrosis K74.02 Hepatic fibrosis, advanced fibrosis Hepatic fibrosis occurs when healthy liver tissue becomes scarred. Fibrosis is the first stage of liver scarring. If the scarring progresses, hepatic fibrosis can become advanced, resulting in liver cirrhosis and failure. Nonalcoholic steatohepatitis (NASH) is a condition that causes fat to build up in the liver, leading to inflammation and fibrosis. NASH...
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Article Overview
This article covers an ICD-10-CM expansion for hepatic fibrosis and places it in the context of liver disease staging, including discussion of NASH, NAFLD, fibrosis progression, and related ICD-10-CM tabular guidance. It is relevant to coders, CDI professionals, auditors, and clinical teams who need to understand how the updated classification aligns with current clinical perspectives and research use. The article also notes the relationship between fibrosis stages and cirrhosis categories, along with general implications for tracking and disease progression.
Why This Topic Matters
The update affects how hepatic fibrosis is represented in medical coding and how related liver disease severity is organized for documentation, reporting, and research. Understanding the scope of the change helps users interpret the article’s coding focus without relying on the premium content.
Article Sections
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Code expansion for hepatic fibrosis
Introduces the updated hepatic fibrosis category and the newly specified options within the code set.
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Clinical context and staging overview
Reviews hepatic fibrosis in the setting of liver scarring, NASH, NAFLD, and the staging framework discussed in the article.
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ICD-10-CM tabular list guidance and cirrhosis relationship
Summarizes the related ICD-10-CM tabular list notes and the broader relationship between fibrosis stages and cirrhosis categories.
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Impact on classification and research
Explains the general significance of the update for disease classification, tracking, and research alignment.
What You Will Learn
- How the hepatic fibrosis category was expanded in ICD-10-CM
- How hepatic fibrosis is discussed in relation to NASH and NAFLD
- How fibrosis staging is referenced in the article’s clinical context
- How the update supports broader classification and research purposes
Who Should Read This
- Medical coders
- Clinical documentation integrity professionals
- Auditors
- Healthcare providers
- Quality and research teams
Codes Discussed
Code Ranges Discussed
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