2027 ICD-10-CM Diagnosis Code K76.7Hepatorenal syndrome
ICD-10-CM Codes›K00–K95›K70-K77›K76
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- Risk Adjusts — HCC 63
- Chronic Condition
K76.7 is a billable ICD-10-CM diagnosis code for hepatorenal syndrome. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 441 through 443, 791, 793. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 5 closely related codes. Coders also document this condition as acute hepatic failure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Acute and unspecified renal failure and Other specified and unspecified liver disease.
For Medicare Advantage risk adjustment, K76.7 maps to CMS-HCC Category 63 (Chronic Liver Failure/End-Stage Liver Disorders) under the V28 model, adding a risk factor of about 0.962 for a community, non-dual, aged beneficiary in payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
K76.7 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute hepatic failure
- Cholemic nephrosis
- Familial arthrogryposis-cholestatic hepatorenal syndrome
- Hepatorenal syndrome
- Hepatorenal syndrome with acute kidney injury
- Inherited disorder of bilirubin metabolism
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to K76.7: its own notes plus those printed at K76, block K70-K77, and Chapter 11. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- jaundice NOS (R17)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name K76.7, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming K76.7: its condition is not part of those codes, and both may be reported when the patient has both.
- Block N17-N19 Acute kidney failure and chronic kidney diseasehepatorenal syndrome (K76.7)
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
hepatorenal K76.7
Syndrome See Also: Disease;
hepatorenal K76.7
hepatourologic K76.7
Heyd's K76.7
liver-kidney K76.7
urohepatic K76.7
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Hepatorenal Syndrome
functional kidney failure in patients with liver disease, usually liver cirrhosis or portal hypertension (hypertension, portal), and in the absence of intrinsic renal disease or kidney abnormality. it is characterized by intense renal vasculature constriction, reduced renal blood flow, oliguria, and sodium retention.
Patient EducationClinical
Kidney Failure
Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert K76.7 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About K76.7Overview
What is the ICD-10 code for hepatorenal syndrome?
The ICD-10-CM code for hepatorenal syndrome is K76.7 (sometimes written as K767). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is K76.7 (Other diseases of liver) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hepatorenal syndrome on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does K76.7 group to?
When hepatorenal syndrome is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 442, 441, 443, with relative weights from 0.6890 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.
Is K76.7 a CC or MCC?
CMS lists K76.7 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 5 closely related codes in its exclusion list.
Can K76.7 be reported with O90.41?
Not as a rule. The Excludes1 note on K76.7 lists "hepatorenal syndrome following labor and delivery (O90.41)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What HCC is K76.7?
K76.7 (hepatorenal syndrome) maps to CMS-HCC Category 63 (Chronic Liver Failure/End-Stage Liver Disorders), commonly written as HCC 63, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 27 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.
Does K76.7 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, K76.7 adds a risk adjustment factor of about 0.962 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.861 to 1.209 depending on the payment segment). A more severe related category (HCC 62) supersedes it when both are reported. See the full factor table on the HCC 63 category page.
