ICD-10 Code K74.2 – Hepatic fibrosis with hepatic sclerosis (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K74.2 – Hepatic fibrosis with hepatic sclerosis
What it is
K74.2 identifies chronic liver scarring with sclerosis, meaning fibrotic change has progressed and hardened liver tissue is documented. Use it when the record specifically states hepatic fibrosis with hepatic sclerosis.
Clinical signs
Clinical features vary; refer to documentation. You may see evidence of chronic liver disease, abnormal imaging, or biopsy findings showing fibrosis and sclerosis, but the code itself depends on the provider’s diagnosis.
When to use this code
Use K74.2 when the clinician documents hepatic fibrosis with hepatic sclerosis as the confirmed diagnosis. It is appropriate for outpatient, inpatient, or problem-list coding when the condition is active and clearly stated. Check documentation if the record only mentions nonspecific liver disease or scarring.
Do not use for
Do not use this code for cirrhosis, biliary fibrosis, or unspecified liver fibrosis unless hepatic sclerosis is specifically documented. If the note is vague, code the documented condition instead.
Coding tip
Code K74.2 only when both fibrosis and hepatic sclerosis are explicitly supported in the chart.