Hepatorenal syndrome
ICD-10 K76.7 is a billable code used to indicate a diagnosis of hepatorenal syndrome.
Hepatorenal syndrome (HRS) is a serious condition characterized by the rapid deterioration of kidney function in individuals with advanced liver disease, particularly cirrhosis. It is primarily caused by renal vasoconstriction due to severe liver dysfunction, leading to reduced renal perfusion. Clinically, patients may present with oliguria, elevated serum creatinine, and a low urine sodium concentration. The anatomy involved includes the liver, kidneys, and the systemic circulation, where the interplay of these organs is crucial for maintaining homeostasis. Disease progression typically involves two types: Type 1 HRS, which is characterized by a rapid decline in renal function, and Type 2 HRS, which has a more gradual onset. Diagnostic considerations include ruling out other causes of acute kidney injury, such as prerenal azotemia or intrinsic renal disease, and confirming the diagnosis through clinical criteria and laboratory tests. The condition is often associated with complications such as spontaneous bacterial peritonitis and requires prompt recognition and management to improve outcomes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K76.7 specifically covers Hepatorenal Syndrome, which is a functional renal failure associated with liver cirrhosis and portal hypertension. It does not include other forms of acute kidney injury or chronic kidney disease unless they are directly related to liver dysfunction.
K76.7 should be used when there is clear evidence of renal failure secondary to liver disease, particularly in the context of cirrhosis. It is important to differentiate it from other renal conditions by ensuring that the underlying liver pathology is documented.
Documentation must include evidence of liver disease (e.g., cirrhosis), renal function tests showing acute kidney injury, and clinical assessments that rule out other causes of renal impairment. Detailed notes on the patient's history, physical examination findings, and laboratory results are essential.
