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.
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.
Medicare coverage
K76.81 is named in 7 Medicare coverage policies — 7 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
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56669Billing and Coding: Hospice - Liver Disease
How K76.81 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 K76.81.
- Syndrome›hepatopulmonary
Related codes at this level
Codes that share K76.8. If K76.81 is not quite right, the correct code is usually one of these.
Questions about K76.81
- Is K76.81 a billable ICD-10-CM code?
- Yes. K76.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K76.81 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of liver (K70-K77).