O90.41 — Hepatorenal syndrome following labor and delivery
Is O90.41 billable?
Yes — O90.41 is billable for FY2027. O90.41 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O90.41 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O90.41 at a glance
| Code | O90.41 |
|---|---|
| Description | Hepatorenal syndrome following labor and delivery |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O90.41 group to?
O90.41 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 769Postpartum and Post Abortion Diagnoses with O.R. Proceduressurgical
As a secondary diagnosis, O90.41 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.
How is O90.41 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O90.41. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hepatorenal syndrome following labor and delivery
- Puerperal, puerperium › hepatorenal syndrome (complicated by, complications)
- Syndrome › hepatorenal › following delivery
- Syndrome › hepatorenal › postpartum, puerperal
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O90.41 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Excludes1 — never code together — inherited from O90.4
The conditions below can never be reported together with O90.41 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- anuria and oliguria (R34)
Use additional code — inherited from Chapter 15
Report an additional code alongside O90.41 to fully describe the condition. O90.41 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O90.41, but a patient may have both at the same time. When documentation supports it, O90.41 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O85-O92
The conditions below are not part of O90.41, but a patient may have both at the same time. When documentation supports it, O90.41 and the excluded code may both be reported.
How long has O90.41 existed?
O90.41 first appears in FY2024.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.