Postprocedural hepatorenal syndrome
ICD-10 K91.83 is a billable code used to indicate a diagnosis of postprocedural hepatorenal syndrome.
Postprocedural hepatorenal syndrome (HRS) is a serious complication that can occur following surgical procedures, particularly those involving the liver or biliary system. It is characterized by the rapid deterioration of kidney function in patients with liver dysfunction, often seen in the context of cirrhosis or acute liver failure. The syndrome is primarily due to alterations in renal blood flow and systemic vasodilation, leading to renal hypoperfusion. Clinically, patients may present with oliguria, elevated serum creatinine, and a decline in glomerular filtration rate. The anatomy involved includes the liver, kidneys, and the vascular system, particularly the renal arteries. Disease progression can be rapid, with a high mortality rate if not promptly recognized and treated. Diagnostic considerations include ruling out other causes of acute kidney injury, assessing liver function through laboratory tests, and imaging studies to evaluate liver structure and blood flow. Early identification and management are crucial 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
K91.83 specifically covers postprocedural hepatorenal syndrome that occurs following surgical interventions, particularly in patients with pre-existing liver disease. It is essential to document the surgical procedure and the patient's liver status to support this diagnosis.
K91.83 should be used when there is a clear link between a surgical procedure and the onset of hepatorenal syndrome, particularly in patients with underlying liver disease. If the renal impairment is due to other causes, different codes should be considered.
Documentation should include details of the surgical procedure performed, the patient's liver function tests, clinical signs of renal impairment, and any imaging studies that support the diagnosis of hepatorenal syndrome.
