Hepatic fibrosis with hepatic sclerosis

This code signifies a chronic liver disease characterized by the excessive accumulation of fibrous connective tissue within the liver, accompanied by hardening or scarring (sclerosis). It represents an advanced stage of liver damage where the normal liver architecture is significantly distorted, impairing its function.

Assign this code when documentation explicitly states both hepatic fibrosis and hepatic sclerosis. This typically occurs in the context of chronic liver diseases such as cirrhosis, chronic hepatitis, or prolonged exposure to hepatotoxins. Supporting documentation includes liver biopsy results, imaging findings, and physician's diagnostic statements.

• Do not use this code if only fibrosis or only sclerosis is documented; both must be present.
• Sequence this code after the underlying cause of the liver disease, if known (e.g., alcoholic liver disease, chronic viral hepatitis).
• Distinguish from K74.0 (Hepatic fibrosis, unspecified) and K74.1 (Hepatic sclerosis, unspecified) which are less specific.