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
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
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