K76.81 — Hepatopulmonary syndrome
Is K76.81 billable?
Yes — K76.81 is billable for FY2027. K76.81 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. K76.81 may be submitted for encounters from October 1, 2026 through September 30, 2027.
K76.81 at a glance
| Code | K76.81 |
|---|---|
| Description | Hepatopulmonary syndrome |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to K76.81?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name K76.81 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does K76.81 group to?
K76.81 sits in MDC 04 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 205Other Respiratory System Diagnoses with MCCmedical
- 206Other Respiratory System Diagnoses without MCCmedical
How is K76.81 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to K76.81. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Syndrome › hepatopulmonary
Code first
The underlying condition below must be sequenced before K76.81. K76.81 describes a manifestation and cannot be the principal or first-listed diagnosis.
Excludes1 — never code together — inherited from K70-K77
The conditions below can never be reported together with K76.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- jaundice NOS (R17)
Excludes2 — not included here — inherited from Chapter 11
The conditions below are not part of K76.81, but a patient may have both at the same time. When documentation supports it, K76.81 and the excluded code may both 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)
Excludes2 — not included here — inherited from K70-K77
The conditions below are not part of K76.81, but a patient may have both at the same time. When documentation supports it, K76.81 and the excluded code may both be reported.
Excludes2 — not included here — inherited from K76
The conditions below are not part of K76.81, but a patient may have both at the same time. When documentation supports it, K76.81 and the excluded code may both be reported.
How long has K76.81 existed?
K76.81 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.