ICD-10 Coding for Hepatorenal Syndrome(K76.7)
Complete ICD-10-CM coding and documentation guide for Hepatorenal Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hepatorenal Syndrome
Key Information: ICD-10 code for hepatorenal syndrome
Essential facts and insights about Hepatorenal Syndrome
Primary ICD-10-CM Code for hepatorenal syndrome
Decision Criteria
clinical Criteria
- Presence of cirrhosis and renal failure with low urine sodium
documentation Criteria
- Exclusion of nephrotoxic drug use and structural kidney injury
Clinical Validation Requirements
- Cirrhosis confirmed by imaging or biopsy
- Urine sodium <10 mEq/L
- Absence of structural kidney injury
Code-Specific Risks
- Misclassification without cirrhosis confirmation
- Omission of associated conditions like ascites
Coding Notes
- Ensure documentation supports the exclusion of other causes of renal failure.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cirrhosis of liver, unspecified
K74.60Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Acute kidney failure, unspecified
N17.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hepatorenal Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K76.7.
Impact
Clinical: Misdiagnosis of renal failure type., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims due to insufficient documentation.
Mitigation Strategy
Ensure urine sodium levels are documented in all cases of suspected hepatorenal syndrome.
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure cirrhosis is documented through imaging or biopsy before coding.
Impact
Failure to document cirrhosis when coding hepatorenal syndrome.
Mitigation Strategy
Implement mandatory checks for cirrhosis documentation before coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hepatorenal Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hepatorenal Syndrome
Use these documentation templates to ensure complete and accurate documentation for Hepatorenal Syndrome. These templates include all required elements for proper coding and billing.
Hepatorenal Syndrome in Cirrhosis
Specialty: GastroenterologyRequired Elements
- Patient history of liver disease
- Physical exam findings
- Laboratory results
- Imaging studies
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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