K76.82: Hepatic encephalopathy
K76.82 is a billable, specific ICD-10-CM code for hepatic encephalopathy. It is valid for submission on a claim.
Check K76.82 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- underlying liver disease, such as:
- acute and subacute hepatic failure without coma (K72.00)
- alcoholic hepatic failure without coma (K70.40)
- chronic hepatic failure without coma (K72.10)
- hepatic failure with toxic liver disease without coma (K71.10)
- hepatic failure without coma (K72.90)
- icterus of newborn (P55-P59)
- postprocedural hepatic failure (K91.82)
- viral hepatitis without hepatic coma (B15.9, B16.1, B16.9, B17.10, B19.10, B19.20, B19.9)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hepatic encephalopathy, NOS
- Hepatic encephalopathy without coma
- Hepatocerebral intoxication
- Portal-systemic encephalopathy
Excludes2 inherited from the categories above K76.82
Not part of this code, but both may be coded when both are present.
Written on K76: Other diseases of liver
Risk adjustment
K76.82 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
K76.82 is named in 6 Medicare coverage policies: 6 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
- A56669Billing and Coding: Hospice - Liver Disease
- A56852Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity
Alphabetic index entries that lead here
- Encephalopathy›hepatic(without coma)
- Encephalopathy›portal-systemic
- Intoxication›hepatocerebral
Code history
Unchanged in every release from FY2024 to FY2027.