K76 Other diseases of liver

In Spanish

A condition in this category is called Enfermedad de hígado graso in Spanish. The Spanish term names K76.0, fatty (change of) liver; it is not a translation of every code in the category. The glossary entry gives the term in eight more languages and phrases for an appointment.

Notes on individual codes in K76

These annotations appear under the child codes in the FY2027 ICD-10-CM Tabular List. Codes not listed here carry no annotation of their own.

K76.0 Fatty (change of) liver, not elsewhere classified

Includes: Metabolic dysfunction-associated steatotic liver disease (MASLD); Nonalcoholic fatty liver disease (NAFLD)

Excludes1: nonalcoholic steatohepatitis (NASH) (K75.81)

K76.1 Chronic passive congestion of liver

Includes: Cardiac cirrhosis; Cardiac sclerosis

K76.2 Central hemorrhagic necrosis of liver

Excludes1: liver necrosis with hepatic failure (K72.-)

K76.4 Peliosis hepatis

Includes: Hepatic angiomatosis

K76.5 Hepatic veno-occlusive disease

Excludes1: Budd-Chiari syndrome (I82.0)

K76.6 Portal hypertension

Use additional code: code for any associated complications, such as:; portal hypertensive gastropathy (K31.89)

K76.7 Hepatorenal syndrome

Excludes1: hepatorenal syndrome following labor and delivery (O90.41); postprocedural hepatorenal syndrome (K91.83)

K76.81 Hepatopulmonary syndrome

Code first: underlying liver disease, such as:; alcoholic cirrhosis of liver (K70.3-); cirrhosis of liver without mention of alcohol (K74.6-)

K76.82 Hepatic encephalopathy

Includes: Hepatic encephalopathy, NOS; Hepatic encephalopathy without coma; Hepatocerebral intoxication; Portal-systemic encephalopathy

Excludes1: acute and subacute hepatic failure with coma (K72.01); alcoholic hepatic failure with coma (K70.41); chronic hepatic failure with coma (K72.11); hepatic failure with coma (K72.91)

Code also: underlying liver disease, such as:; acute and subacute hepatic failure without coma (K72.00); alcoholic hepatic failure without coma (K70.40); chronic hepatic failure without coma (K72.10); hepatic failure with toxic liver disease without coma (K71.10); hepatic failure without coma (K72.90); icterus of newborn (P55-P59); postprocedural hepatic failure (K91.82); viral hepatitis without hepatic coma (B15.9, B16.1, B16.9, B17.10, B19.10, B19.20, B19.9)

K76.83 Intestinal failure-associated liver disease

Includes: IFALD

Excludes1: intestinal failure (K90.83)

K76.89 Other specified diseases of liver

Includes: Cyst (simple) of liver; Focal nodular hyperplasia of liver; Hepatoptosis

Coding notes for K76

• K76 is a three-character category heading and is not billable on its own. The Official Guidelines state that "a three-character code is to be used only if it is not further subdivided" and that diagnosis codes are reported "at their highest number of characters available". Of the 14 child codes listed above, 13 are billable and 1 are subcategory headings that need a further character.
• K76.0 lists metabolic dysfunction-associated steatotic liver disease (MASLD) and nonalcoholic fatty liver disease (NAFLD) as inclusion terms; nonalcoholic steatohepatitis (NASH) is Excludes1 and is coded K75.81.
• K76.81 (hepatopulmonary syndrome) has a "code first" note for the underlying liver disease; K76.82 (hepatic encephalopathy) has a "code also" note for the underlying liver disease; K76.6 (portal hypertension) has a "use additional code" note for associated complications.
• Alcoholic liver disease (K70.-) and toxic liver disease (K71.-) are Excludes2 for the whole category: they are classified elsewhere and may be reported with a K76 code when both are documented.

How to read the notes

Includes

Appears under a three-character code title "to further define, or give examples of, the content of the category."

Excludes1

"A type 1 Excludes note is a pure excludes note. It means 'NOT CODED HERE!'" The excluded code "should never be used at the same time as the code above the Excludes1 note."

Excludes2

"A type 2 Excludes note represents 'Not included here.'" The excluded condition is not part of this code, "but a patient may have both conditions at the same time", so both codes may be used together when appropriate.

Code first / Use additional code

Sequencing rules: when a "code first" note is present and an underlying condition is present, "the underlying condition should be sequenced first, if known."

Code also

"Two codes may be required to fully describe a condition, but this note does not provide sequencing direction."

Sources

• ICD-10-CM Files, FY2027 release (effective October 1, 2026) — CDC National Center for Health Statistics
• ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 — CDC/NCHS and CMS (the quoted conventions: Sections I.A.10–13, I.A.17, I.B.2, I.B.7, I.B.13)

Code titles, child codes and annotations are reproduced from the FY2027 ICD-10-CM release. This page is a reference, not coding or medical advice.