K76.7 Hepatorenal syndrome

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Excludes1 (never code together)

• hepatorenal syndrome following labor and delivery (O90.41)
• postprocedural hepatorenal syndrome (K91.83)

Applies from K76 Other diseases of liver

Excludes2 (not included here)

• alcoholic liver disease (K70.-)
• amyloid degeneration of liver (E85.-)
• cystic disease of liver (congenital) (Q44.6)
• hepatic vein thrombosis (I82.0)
• hepatomegaly NOS (R16.0)
• pigmentary cirrhosis (of liver) (E83.110)
• portal vein thrombosis (I81)
• toxic liver disease (K71.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 63 — Chronic Liver Failure/End-Stage Liver Disorders
• CMS-HCC V22: HCC 27 — End-Stage Liver Disease
• ESRD V24: HCC 27

MS-DRG index

Defines the logic of DRG(s) 441-443 in MDC 07.

Approximate ICD-9-CM (GEMs)

• 572.4 Hepatorenal syndrome

Diagnosis Index entries for K76.7

• Degeneration, degenerative › hepatorenal
• Failure, failed › hepatorenal
• Nephrosis, nephrotic (Epstein's) (syndrome) (congenital) › cholemic
• Syndrome › hepatorenal
• Syndrome › hepatourologic
• Syndrome › Heyd's
• Syndrome › liver-kidney
• Syndrome › urohepatic

Nearby codes

• K76.2 Central hemorrhagic necrosis of liver
• K76.3 Infarction of liver
• K76.4 Peliosis hepatis
• K76.5 Hepatic veno-occlusive disease
• K76.6 Portal hypertension
• K76.7 Hepatorenal syndrome (this code)
• K76.8 Other specified diseases of liver
• K76.81 Hepatopulmonary syndrome
• K76.82 Hepatic encephalopathy
• K76.89 Other specified diseases of liver
• K76.9 Liver disease, unspecified