O90.41 Hepatorenal syndrome following labor and delivery

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

Applies from O90.4 Postpartum acute kidney failure

Excludes1 (never code together)

• anuria and oliguria (R34)

MS-DRG index

Defines the logic of DRG(s) 769 in MDC 14.

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O90.41

Back-references to O90.41

• Type 1 Excludes: K76.7 Hepatorenal syndrome ("hepatorenal syndrome following labor and delivery (O90.41)")
• Type 2 Excludes: O26.6 Liver and biliary tract disorders in pregnancy, childbirth and the puerperium ("hepatorenal syndrome following labor and delivery (O90.41)")

Diagnosis Index entries for O90.41

• Hepatorenal syndrome following labor and delivery
• Puerperal, puerperium (complicated by, complications) › hepatorenal syndrome
• Syndrome › hepatorenal › following delivery
• Syndrome › hepatorenal › postpartum, puerperal

Nearby codes

• O90.0 Disruption of cesarean delivery wound
• O90.1 Disruption of perineal obstetric wound
• O90.2 Hematoma of obstetric wound
• O90.3 Peripartum cardiomyopathy
• O90.4 Postpartum acute kidney failure
• O90.41 Hepatorenal syndrome following labor and delivery (this code)
• O90.49 Other postpartum acute kidney failure
• O90.5 Postpartum thyroiditis
• O90.6 Postpartum mood disturbance
• O90.8 Other complications of the puerperium, not elsewhere classified
• O90.81 Anemia of the puerperium