K76.7

K76.7: Hepatorenal 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.

Check K76.7 with the rest of the claim: free scrubber

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)

Excludes2 inherited from the categories above K76.7

Not part of this code, but both may be coded when both are present.

Written on K76: Other diseases of liver

alcoholic liver disease (K70.-)
amyloid degeneration of liver (E85.-)
cystic disease of liver (congenital) (Q44.6)
hepatic vein thrombosis (I82.0)
hepatomegaly NOS (R16.0)
pigmentary cirrhosis (of liver) (E83.110)
portal vein thrombosis (I81)
toxic liver disease (K71.-)

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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

K76.7 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Degeneration, degenerative›hepatorenal
Failure, failed›hepatorenal
Nephrosis, nephrotic›cholemic
Syndrome›hepatorenal
Syndrome›hepatourologic
Syndrome›Heyd's
Syndrome›liver-kidney
Syndrome›urohepatic

Code history

Unchanged in every release from FY2024 to FY2027.