K74.3

Primary biliary cirrhosis

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC68

Cholangitis and Obstruction of Bile Duct Without Gallstones

CMS-HCC ESRD V24

HCC28

Cirrhosis of Liver

RxHCC V08

RXHCC59

Primary Biliary Cirrhosis

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · K74.3
Excludes 2

primary sclerosing cholangitis (K83.01)

Synonyms

Chronic nonsuppurative destructive cholangitis Primary biliary cholangitis

Inherited from K74Fibrosis and cirrhosis of liver
Excludes 1

alcoholic cirrhosis (of liver) (K70.3) alcoholic fibrosis of liver (K70.2) cardiac sclerosis of liver (K76.1) cirrhosis (of liver) with toxic liver disease (K71.7) congenital cirrhosis (of liver) (P78.81) pigmentary cirrhosis (of liver) (E83.110)

Code also

, if applicable, viral hepatitis (acute) (chronic) (B15-B19)

Inherited from K70-K77Diseases of liver
Excludes 1

jaundice NOS (R17)

Excludes 2

hemochromatosis (E83.11-) Reye's syndrome (G93.7) viral hepatitis (B15-B19) Wilson's disease (E83.01)

Inherited from chapter 11Diseases of the digestive system
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Official Guidelines for K74.3

FY 2026 ›