K76.7 — Hepatorenal syndrome
K76.7 is a billable, specific ICD-10-CM code for hepatorenal syndrome. It is valid for submission on a claim.
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, degenerative›hepatorenal
- Failure, failed›hepatorenal
- Nephrosis, nephrotic›cholemic
- Syndrome›hepatorenal
- Syndrome›hepatourologic
- Syndrome›Heyd's
- Syndrome›liver-kidney
- Syndrome›urohepatic
Related codes at this level
Codes that share K76. If K76.7 is not quite right, the correct code is usually one of these.
- K76.0Fatty (change of) liver, not elsewhere classified
- K76.1Chronic passive congestion of liver
- K76.2Central hemorrhagic necrosis of liver
- K76.3Infarction of liver
- K76.4Peliosis hepatis
- K76.5Hepatic veno-occlusive disease
- K76.6Portal hypertension
- K76.8Other specified diseases of liver
- K76.9Liver disease, unspecified
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.