Is K76.6 a billable ICD-10-CM code?

Yes. K76.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K76.6 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Diseases of liver (K70-K77).

K76.6

K76.6 — Portal hypertension

Billable / specific codeICD-10-CM

K76.6 is a billable, specific ICD-10-CM code for portal hypertension. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

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

Risk adjustment

K76.6 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 63 Chronic Liver Failure/End-Stage Liver Disorders0.962 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

K76.6 is named in 15 Medicare coverage policies — 15 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56414Billing and Coding: Endovenous Stenting
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56461Billing and Coding: Endoscopy by Capsule

How K76.6 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K76.6.

Banti's disease or syndrome(with cirrhosis) (with portal hypertension)
Fibrosis, fibrotic›hepatolienal(portal hypertension)
Fibrosis, fibrotic›hepatosplenic(portal hypertension)
Hypertension, hypertensive›portal(due to chronic liver disease) (idiopathic)
Increase, increased›venous pressure›portal

Related codes at this level

Codes that share K76. If K76.6 is not quite right, the correct code is usually one of these.

Questions about K76.6

Is K76.6 a billable ICD-10-CM code?: Yes. K76.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K76.6 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Diseases of liver (K70-K77).