K74.00 Hepatic fibrosis, unspecified

ICD10CM code

#### Name of the Condition
- Common Name: Hepatic Fibrosis
- Medical Term: Hepatic Fibrosis, Unspecified (ICD Code: K74.00)

#### Summary
Hepatic fibrosis is a condition characterized by the formation of scar tissue in the liver. It occurs as a response to chronic liver damage and can lead to impaired liver function. When the cause of fibrosis is not specified, it is classified as unspecified hepatic fibrosis.

#### Causes
Hepatic fibrosis is primarily caused by chronic liver diseases such as hepatitis B and C infections, long-term alcohol abuse, and non-alcoholic fatty liver disease (NAFLD). Other causes can include autoimmune liver diseases and prolonged exposure to toxins.

#### Risk Factors
- Chronic viral hepatitis (B or C)
- Excessive alcohol consumption
- Obesity
- Type 2 diabetes
- High cholesterol and triglycerides
- Certain genetic conditions

#### Symptoms
In the early stages, hepatic fibrosis may be asymptomatic. As it progresses, symptoms can include:
- Fatigue
- Jaundice (yellowing of the skin and eyes)
- Abdominal discomfort
- Swelling in legs and abdomen (edema and ascites)
- Easy bruising or bleeding

#### Diagnosis
- Blood tests to assess liver function
- Imaging studies such as ultrasound, CT, or MRI
- Liver biopsy to determine the extent of fibrosis
- Elastography to measure liver stiffness

#### Treatment Options
- Addressing the underlying cause, such as antiviral medications for hepatitis
- Lifestyle changes including alcohol cessation and dietary modifications
- Medications that reduce liver inflammation or fibrosis
- In advanced cases, liver transplantation may be necessary

#### Prognosis and Follow-Up
The prognosis varies depending on the underlying cause and the stage at which fibrosis is detected. Early intervention can prevent progression to cirrhosis. Regular check-ups are important to monitor liver health and prevent further damage.

#### Complications
- Progression to cirrhosis
- Liver failure
- Portal hypertension
- Increased risk of liver cancer

#### Lifestyle & Prevention
- Abstain from alcohol
- Maintain a healthy weight through diet and exercise
- Vaccination against hepatitis B
- Regular monitoring for individuals at risk

#### When to Seek Professional Help
- Persistent fatigue or jaundice
- Unexplained swelling in the abdomen or legs
- Internal bleeding or easy bruising
- Any sudden changes in health status

#### Additional Resources
- American Liver Foundation [liverfoundation.org](https://liverfoundation.org)
- The European Association for the Study of the Liver (EASL) [easl.eu](https://easl.eu)
- Local liver disease support groups

#### Tips for Medical Coders
- Ensure the specificity of fibrosis before using K74.00 for unspecified cases.
- Check for documentation of underlying conditions that may alter the coding.
- Avoid confusing hepatic fibrosis with cirrhosis unless cirrhosis is specifically noted.

Medical Policies and Guidelines for Hepatic fibrosis, unspecified

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