2026 ICD-10-CM Diagnosis Code O90.41Hepatorenal syndrome following labor and delivery

ICD-10-CM Codes›O00-O9A›O85-O92›O90

ICD-10-CM O90.41
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O90.41 is a billable ICD-10-CM diagnosis code for hepatorenal syndrome following labor and delivery. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as hepatorenal syndrome. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Acute and unspecified renal failure, Complications specified during the puerperium, and Other specified and unspecified liver disease.

Code Identity

ICD-10-CM Code
O90.41
Billable Status
Yes — Valid for Submission
Code Describes
Hepatorenal syndrome following labor and delivery
Short Description
Hepatorenal syndrome following labor and delivery
Same as the full description in the CMS dataset.
Parent Code
O90.4
Postpartum acute kidney failure

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO85-O92Complications predominantly related to the puerperium
CategoryO90Complications of the puerperium, not elsewhere classified
This CodeO90.41Hepatorenal syndrome following labor and delivery

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O90.41.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hepatorenal syndrome
  • Hepatorenal syndrome following delivery

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hepatorenal syndrome following labor and delivery
    • Puerperal, puerperium(complicated by, complications)
      • hepatorenal syndrome
    • Syndrome
      • hepatorenal
        • following delivery
    • Syndrome
      • hepatorenal
        • postpartum, puerperal

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 PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR DIG019
Other specified and unspecified liver disease
Default principal diagnosis: inpatient No · outpatient No

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.

  • Postpartum Acute Renal Failure

    renal failure that occurs postpartum due to any partum problem (hemorrhage, sepsis, preeclampsia).

Code History & ChangesHistory

Replacement O90.41 replaces the following previously assigned code(s):

  • O90.4 - Postpartum acute kidney failure
FY 2024AddedAdded to the ICD-10-CM code setEffective October 1, 2023.
FY 2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O90.41Overview

Is O90.41 (Postpartum acute kidney failure) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hepatorenal syndrome following labor and delivery on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O90.41 be reported for?

The Medicare Code Editor checks hepatorenal syndrome following labor and delivery against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.