ICD-10 Code K74.02 – Hepatic fibrosis, advanced fibrosis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Hepatic fibrosis, advanced fibrosis is K74.02.
2026 ICD-10-CM Diagnosis Code K74.02 – Hepatic fibrosis, advanced fibrosis

What it is

K74.02 identifies advanced hepatic fibrosis, meaning significant scarring of the liver that is more than mild and has not necessarily progressed to cirrhosis. Use it when documentation specifically states advanced fibrosis.

Clinical signs

Clinical features vary; refer to documentation. Findings may include evidence of chronic liver disease on imaging, biopsy, or specialist assessment, but the record should clearly support advanced fibrosis.

When to use this code

Use K74.02 when the provider documents advanced hepatic fibrosis, including cases confirmed by biopsy, elastography, or specialist interpretation. It may also apply when the chart clearly distinguishes advanced fibrosis from cirrhosis or other liver disorders. Check documentation if the stage is unclear.

Do not use for

Do not use this code for simple hepatic fibrosis, cirrhosis, or unspecified chronic liver disease unless advanced fibrosis is documented. If the note only says “fibrosis” without staging, do not assume K74.02.

Coding tip

Code K74.02 only when the record explicitly supports advanced fibrosis; otherwise query for staging details.

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