K76.81: Hepatopulmonary syndrome
K76.81 is a billable, specific ICD-10-CM code for hepatopulmonary syndrome. It is valid for submission on a claim.
Check K76.81 with the rest of the claim: free scrubberCode first
The underlying condition must be sequenced before this code.
Excludes2 inherited from the categories above K76.81
Not part of this code, but both may be coded when both are present.
Written on K76: Other diseases of liver
Risk adjustment
K76.81 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
K76.81 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56669Billing and Coding: Hospice - Liver Disease
Alphabetic index entries that lead here
- Syndrome›hepatopulmonary
Code history
Unchanged in every release from FY2024 to FY2027.