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ICD-10 Guide
DiagnosesHepatorenal Syndrome

Hepatorenal Syndrome

ICD-10 Coding for Hepatorenal Syndrome(K76.7)

PRIMARY SPECIALTYGastroenterology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Hepatorenal Syndrome?
Essential facts and insights about Hepatorenal Syndrome

Key Clinical Considerations:

  • Oliguria or anuria
  • Elevated serum creatinine and blood urea nitrogen
  • Jaundice, ascites, and signs of liver dysfunction

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of liver disease
  • Evidence of renal impairment
  • Exclusion of other causes of acute kidney injury

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding acute kidney injury versus hepatorenal syndrome.
  • Common errors include misclassifying hepatorenal syndrome as chronic kidney disease.

Code Exclusions

Important Exclusions

  • Acute kidney injury due to other causes
  • Chronic kidney disease unrelated to liver dysfunction

Related ICD-10 Codes

Primary Codes
K76.7
Hepatorenal syndrome
Ancillary Codes
K74.60
Differential Codes
N17.9

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

  • Patients with advanced liver disease, particularly cirrhosis
  • Gastroenterology and nephrology clinical settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document liver disease history, renal function tests, and exclusion of other renal causes.

What are the billing considerations?

Ensure accurate coding to reflect severity and associated conditions for appropriate reimbursement.