Understanding Hepatorenal Syndrome with Acute Kidney Injury
A Guide to Hepatorenal Syndrome with Acute Kidney Injury
Learning About Hepatorenal Syndrome with Acute Kidney Injury
Defining Hepatorenal Syndrome with Acute Kidney Injury
A patient presents with acute kidney injury (AKI) likely secondary to hepatorenal syndrome (HRS) secondary to metastatic breast cancer to the liver. Would AKI and HRS be reported separately or is AKI integral to HRS?
Both conditions are reported to accurately reflect the severity of the patient’s condition
Therefore, assign codes:
N17.8, Other acute kidney failure
K76.7, Hepatorenal syndrome
In addition, category N17, Acute kidney failure, has an instructional note to “code also associated underlying condition” and at section level N17-N19, Acute kidney failure and chronic kidney disease, there is an excludes2 note for HRS; therefore, both codes are assigned.
The information and opinions presented here are based on the experience, training, and interpretation of the author. Although the information has been researched and reviewed for accuracy, e4health does not accept any responsibility or liability regarding errors, omission, misuse, or misinterpretation. This information is intended as a guide; it should not be considered a legal/consulting opinion or advice.