ICD-10-CM Code K76.81

Hepatopulmonary syndrome

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

K76.81 is a billable code used to specify a medical diagnosis of hepatopulmonary syndrome. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code K76.81 might also be used to specify conditions or terms like dilatation of pulmonary artery or hepatopulmonary syndrome.

The code K76.81 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:K76.81
Short Description:Hepatopulmonary syndrome
Long Description:Hepatopulmonary syndrome

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K76.81:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • underlying liver disease, such as:
  • alcoholic cirrhosis of liver K70.3
  • cirrhosis of liver without mention of alcohol K74.6

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K76.81 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Dilatation of pulmonary artery
  • Hepatopulmonary syndrome

Clinical Information

  • HEPATOPULMONARY SYNDROME-. a syndrome characterized by the clinical triad of advanced chronic liver disease pulmonary vascular dilatations and reduced arterial oxygenation hypoxemia in the absence of intrinsic cardiopulmonary disease. this syndrome is common in the patients with liver cirrhosis or portal hypertension hypertension portal.

Diagnostic Related Groups

The ICD-10 code K76.81 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
  • 206 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC

Convert K76.81 to ICD-9

  • 573.5 - Hepatopulmonary syndrome

Code Classification

  • Diseases of the digestive system (K00–K93)
    • Diseases of liver (K70-K77)
      • Other diseases of liver (K76)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Liver Diseases

Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons.

There are many kinds of liver diseases:

  • Diseases caused by viruses, such as hepatitis A, hepatitis B, and hepatitis C
  • Diseases caused by drugs, poisons, or too much alcohol. Examples include fatty liver disease and cirrhosis.
  • Liver cancer
  • Inherited diseases, such as hemochromatosis and Wilson disease

Symptoms of liver disease can vary, but they often include swelling of the abdomen and legs, bruising easily, changes in the color of your stool and urine, and jaundice, or yellowing of the skin and eyes. Sometimes there are no symptoms. Tests such as imaging tests and liver function tests can check for liver damage and help to diagnose liver diseases.


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