Hepatic Steatosis ICD-10 Coding Guide

Also known as

  • Fatty liver
  • Fatty liver disease
  • Steatotic liver disease

Abbreviations

  • NAFLD
  • MASLD
  • FLD
  • SLD

The ICD-10-CM code for hepatic steatosis is K76.0 (Fatty (change of) liver, not elsewhere classified), a billable code reported when fatty change of the liver is documented and not classified elsewhere.

Primary codes

Billable

Billable

Extension

7th character

POA exempt

No

Inclusion terms

  • Metabolic dysfunction-associated steatotic liver disease (MASLD)
  • Nonalcoholic fatty liver disease (NAFLD)

Type 1 excludes

  • nonalcoholic steatohepatitis (NASH) (K75.81)

Coding risks

  • Pairing with a mutually-exclusive code (Excludes-1 violation)

Code ranges

Coding risks

Avoid these common coding issues when reporting Hepatic Steatosis.

Impact

Assigning K76.0 without etiology may miscode alcoholic fatty liver (K70.0) or NASH (K75.81) as nonspecific steatosis.

Mitigation

Consider querying the provider when etiology is absent rather than inferring from imaging findings or BMI alone.

Z-code variants

Family history, personal history, or screening encounter codes related to this condition.

In pregnancy

Pregnancy-specific O-code adaptations used in place of the primary when the condition occurs during or complicates pregnancy.

Differential codes

Alternative or commonly confused codes to consider when documentation suggests a different condition than the primary diagnosis.

Frequently asked questions

No. Simple steatosis (K76.0) and NASH (K75.81) are mutually exclusive; code only the most specific diagnosis the provider documents.

References

Compiled from the following authoritative coding references. Last updated 2026-08-04.

Disclaimer

This page is compiled from authoritative coding references for educational and reference purposes only. It is not medical advice, billing authority, or an official source of ICD-10-CM guidelines. Always verify codes against the current CMS ICD-10-CM Official Guidelines, AHIMA guidance, and your organization’s coding policies. ICD-10-CM is updated annually on October 1.