K76.82
Billable codeHepatic encephalopathy
The ICD-10 code for hepatic encephalopathy is K76.82.
Clinical notes
Code also
Two codes may be needed to fully describe a condition, but unlike Code First/Use Additional Code, the sequencing order is not mandated by convention.
- 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)
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Hepatic encephalopathy, NOS
- Hepatic encephalopathy without coma
- Hepatocerebral intoxication
- Portal-systemic encephalopathy
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- K76.81Hepatopulmonary syndrome
- K76.89Other specified diseases of liver
- K76.82Hepatic encephalopathy
Associated MS-DRGs
K76.82 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 393Other Digestive System Diagnoses with MCC
- DRG 394Other Digestive System Diagnoses with CC
- DRG 395Other Digestive System Diagnoses without CC/MCC
- DRG 441Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC
- DRG 442Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC
- DRG 443Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC