ICD-10 Code K76.7 – Hepatorenal syndrome (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K76.7 – Hepatorenal syndrome
What it is
K76.7 identifies hepatorenal syndrome, a serious kidney failure that occurs in people with advanced liver disease. Use it when documentation links renal dysfunction to liver failure rather than to another primary kidney cause.
Clinical signs
Typical documentation includes cirrhosis or severe liver disease with worsening kidney function and no better explanation for the renal impairment. Clinical features vary; refer to documentation.
When to use this code
Use K76.7 when the provider clearly diagnoses hepatorenal syndrome or states that renal failure is due to liver disease. It is appropriate when the note describes hepatorenal physiology, renal impairment in advanced cirrhosis, or related liver-kidney failure. Check documentation if the cause of kidney dysfunction is not explicit.
Do not use for
Do not assign this code for chronic kidney disease, acute kidney injury, or renal failure with another documented cause. If the record does not support hepatorenal syndrome specifically, code the documented condition instead.
Coding tip
Verify that the provider links the kidney failure to liver disease before coding K76.7.