Is K76.82 a billable ICD-10-CM code?

Yes. K76.82 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K76.82 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 K76.82?

K76.82 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

K76.82

K76.82 — Hepatic encephalopathy

Billable / specific codeICD-10-CM

K76.82 is a billable, specific ICD-10-CM code for hepatic encephalopathy. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

acute and subacute hepatic failure with coma (K72.01)
alcoholic hepatic failure with coma (K70.41)
chronic hepatic failure with coma (K72.11)
hepatic failure with coma (K72.91)

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

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.

Medicare coverage

K76.82 is named in 6 Medicare coverage policies — 6 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
A56669Billing and Coding: Hospice - Liver Disease
A56852Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity

How K76.82 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 K76.82.

Encephalopathy›hepatic(without coma)
Encephalopathy›portal-systemic
Intoxication›hepatocerebral

Related codes at this level

Codes that share K76.8. If K76.82 is not quite right, the correct code is usually one of these.

Questions about K76.82

Is K76.82 a billable ICD-10-CM code?: Yes. K76.82 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K76.82 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 K76.82?: K76.82 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.