ICDcodes.org
FY2027

K76.82Hepatic encephalopathy

Billable

Is K76.82 billable?

Yes — K76.82 is billable for FY2027. K76.82 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. K76.82 may be submitted for encounters from October 1, 2026 through September 30, 2027.

K76.82 at a glance

CodeK76.82
DescriptionHepatic encephalopathy
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does K76.82 group to?

K76.82 sits in MDC 07 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 441Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCCmedical
  • 442Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CCmedical
  • 443Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCCmedical

How is K76.82 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to K76.82. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Encephalopathyhepatic (acute)
  • Encephalopathyportal-systemic (acute)
  • Intoxicationhepatocerebral

Excludes1 — never code together

The conditions below can never be reported together with K76.82 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • acute and subacute hepatic failure with coma (K72.01)
  • alcoholic hepatic failure with coma (K70.41)
  • chronic hepatic failure with coma (K72.11)
  • hepatic failure with coma (K72.91)

Code also

Two codes may be needed to describe the condition fully. Whether K76.82 is sequenced first depends on the reason for the encounter.

  • underlying liver disease, such as:
  • acute and subacute hepatic failure without coma (K72.00)
  • alcoholic hepatic failure without coma (K70.40)
  • chronic hepatic failure without coma (K72.10)
  • hepatic failure with toxic liver disease without coma (K71.10)
  • hepatic failure without coma (K72.90)
  • icterus of newborn (P55-P59)
  • postprocedural hepatic failure (K91.82)
  • viral hepatitis without hepatic coma (B15.9, B16.1, B16.9, B17.10, B19.10, B19.20, B19.9)

Inclusion terms

Alternative wording in documentation that is classified to K76.82.

  • Hepatic encephalopathy, NOS
  • Hepatic encephalopathy without coma
  • Hepatocerebral intoxication
  • Portal-systemic encephalopathy

Excludes1 — never code together — inherited from K70-K77

The conditions below can never be reported together with K76.82 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 K76.82, but a patient may have both at the same time. When documentation supports it, K76.82 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 K76.82, but a patient may have both at the same time. When documentation supports it, K76.82 and the excluded code may both be reported.

Excludes2 — not included here — inherited from K76

The conditions below are not part of K76.82, but a patient may have both at the same time. When documentation supports it, K76.82 and the excluded code may both be reported.

  • alcoholic liver disease (K70.-)
  • amyloid degeneration of liver (E85.-)
  • cystic disease of liver (congenital) (Q44.6)
  • hepatic vein thrombosis (I82.0)
  • hepatomegaly NOS (R16.0)
  • pigmentary cirrhosis (of liver) (E83.110)
  • portal vein thrombosis (I81)
  • toxic liver disease (K71.-)

How long has K76.82 existed?

K76.82 first appears in FY2023.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to K76.82?

What other codes are in the K76.8 family? (3)