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ICD-10/K76.7

K76.7 ICD-10-CM Code: Hepatorenal syndrome

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.

  • MS-DRG 441 — DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC (MDC 07)
  • MS-DRG 442 — DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC (MDC 07)
  • MS-DRG 443 — DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC (MDC 07)
  • MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
  • MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 63 — Chronic Liver Failure/End-Stage Liver Disorders (supersedes HCC 64, HCC 65, HCC 68, HCC 202)

Other models: CMS-HCC V22 HCC 27

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Hepatorenal syndrome is a billable ICD-10-CM diagnosis code (K76.7).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for K76.7 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • hepatorenal syndrome following labor and delivery (O90.41)
  • postprocedural hepatorenal syndrome (K91.83)
  • jaundice NOS (R17)

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • 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.-)
  • hemochromatosis (E83.11-)
  • Reye's syndrome (G93.7)
  • viral hepatitis (B15-B19)
  • Wilson's disease (E83.01)

Nearest Codes in This Family

Official ICD-10-CM classifications closest to K76.7 in its code family, with their registry titles.

  • 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
  • K76.8 — Other specified diseases of liver
  • K76.81 — Hepatopulmonary syndrome
  • K76.82 — Hepatic encephalopathy
  • K76.83 — Intestinal failure-associated liver disease
  • K76.89 — Other specified diseases of liver

View all codes in the K76 family

Indexed Clinical Terms (8)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • 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