ICD-10 K76.5
Billable / SpecificHepatic veno-occlusive disease
About ICD-10-CM K76.5
ICD-10-CM code K76.5 represents Hepatic veno-occlusive disease. This is a billable/specific code in the Digestive System chapter (block K76). The 2026 edition of ICD-10-CM K76.5 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with K76.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- Budd-Chiari syndrome (I82.0)
Medicare LCD Coverage for K76.5
Local Coverage Determinations (LCDs) from CMS MACs that list K76.5 as a covered diagnosis.
Showing top 10 of 15 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K76.5.
1 Cigna
2 Medicare
1 Aetna
CPT Codes Commonly Billed with K76.5
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert K76.5 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| K76.5 | 5738 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K76.5
Other codes in section K70-K77 (Diseases of liver).
ICD-10 K76.5, Billing FAQ
Is ICD-10 code K76.5 billable? +
Yes, K76.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for K76.5? +
Type 1 Excludes (never code together with K76.5): Budd-Chiari syndrome (I82.0)
What ICD-9 codes does K76.5 map to? +
Per CMS GEMs, K76.5 maps to ICD-9 codes: 5738. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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