K74 vs K76.1
K74 and K76.1 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on K74
cardiac sclerosis of liver (K76.1)
K74
Fibrosis and cirrhosis of liver
Not billable
- Chapter 11
- Diseases of the digestive system
- Section
- K70-K77
K76.1
Chronic passive congestion of liver
Billable
- Chapter 11
- Diseases of the digestive system
- Section
- K70-K77
Use when the record says
- Cardiac cirrhosis
- Cardiac sclerosis
Indexed under
- Nutmeg liver
- Cirrhosis, cirrhotic › cardiac (hepatic) (liver)
- Cirrhosis, cirrhotic › congestive (hepatic) (liver)
- Cirrhosis, cirrhotic › stasis (hepatic) (liver)
- Congestion, congestive › hepatic
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027