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K76.7

K76.7Hepatorenal syndrome

Billable / specific codeICD-10-CM

K76.7 is a billable, specific ICD-10-CM code for hepatorenal syndrome. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • hepatorenal syndrome following labor and delivery (O90.41)
  • postprocedural hepatorenal syndrome (K91.83)

Risk adjustment

K76.7 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

K76.7 is named in 8 Medicare coverage policies 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
  • A56531Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin® LAR Depot)
  • A56669Billing and Coding: Hospice - Liver Disease

How K76.7 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 K76.7.

  • Degeneration, degenerativehepatorenal
  • Failure, failedhepatorenal
  • Nephrosis, nephroticcholemic
  • Syndromehepatorenal
  • Syndromehepatourologic
  • SyndromeHeyd's
  • Syndromeliver-kidney
  • Syndromeurohepatic

Related codes at this level

Codes that share K76. If K76.7 is not quite right, the correct code is usually one of these.

Questions about K76.7

Is K76.7 a billable ICD-10-CM code?
Yes. K76.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K76.7 sit in the tabular list?
Diseases of the digestive system (K00-K95), in the block Diseases of liver (K70-K77).
What cannot be coded together with K76.7?
K76.7 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.