2027 ICD-10-CM Diagnosis Code K91.83Postprocedural hepatorenal syndrome

ICD-10-CM Codes›K00–K95›K90-K95›K91

ICD-10-CM K91.83
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K91.83 is a billable ICD-10-CM diagnosis code for postprocedural hepatorenal syndrome. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395, 791, 793. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 70 closely related codes. Coders also document this condition as hepatic failure due to a procedure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Acute and unspecified renal failure, Other specified and unspecified liver disease, and Postprocedural or postoperative digestive system complication.

Code Identity

ICD-10-CM Code
K91.83
Billable Status
Yes — Valid for Submission
Code Describes
Postprocedural hepatorenal syndrome
Short Description
Postprocedural hepatorenal syndrome
Same as the full description in the CMS dataset.
Parent Code
Other intraoperative and postprocedural complications and disorders of digestive system

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK90-K95Other diseases of the digestive system
CategoryK91Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified
This CodeK91.83Postprocedural hepatorenal syndrome

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hepatic failure due to a procedure
  • Hepatorenal syndrome
  • Hepatorenal syndrome due to a procedure

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K91.83: its own notes plus those printed at K91 and Chapter 11. A note printed at a category, block or chapter applies to every code under it.

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.

From K91 Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified applies to 24 codes
  • complications of artificial opening of digestive system (K94.-)
  • complications of bariatric procedures (K95.-)
  • gastrojejunal ulcer (K28.-)
  • postprocedural (radiation) retroperitoneal abscess (K68.11)
  • radiation colitis (K52.0)
  • radiation gastroenteritis (K52.0)
  • radiation proctitis (K62.7)
From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 codes
  • 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 K91.83, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming K91.83: they are not reported together with it, unless the two conditions are unrelated.

  • K76.7 Hepatorenal syndrome
    postprocedural hepatorenal syndrome (K91.83)

Excludes2 1

These codes carry an Excludes2 note naming K91.83: its condition is not part of those codes, and both may be reported when the patient has both.

  • T81 Complications of procedures, not elsewhere classified
    intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-) names K91.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN002
Acute and unspecified renal failure
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG019
Other specified and unspecified liver disease
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG024
Postprocedural or postoperative digestive system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

After Surgery

After any operation, you'll have some side effects. There is usually some pain with surgery. There may also be swelling and soreness around the area that the surgeon cut. Your surgeon can tell you which side effects to expect.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K91.83 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
997.49 Oth digestv system comp
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About K91.83Overview

What is the ICD-10 code for postprocedural hepatorenal syndrome?

The ICD-10-CM code for postprocedural hepatorenal syndrome is K91.83 (sometimes written as K9183). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is K91.83 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report postprocedural hepatorenal syndrome on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does K91.83 group to?

When postprocedural hepatorenal syndrome is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 394, 395, 393, with relative weights from 0.6379 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is K91.83 a CC or MCC?

CMS lists K91.83 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 70 closely related codes in its exclusion list.

What is the ICD-9 equivalent of K91.83?

Under the General Equivalence Mappings, postprocedural hepatorenal syndrome converts to ICD-9-CM 997.49 (oth digestv system comp). The mapping is approximate, so confirm the match fits the documentation.