Hepatorenal syndrome following labor and delivery

This code signifies the development of hepatorenal syndrome, a severe and potentially life-threatening complication characterized by acute kidney failure in patients with advanced liver disease, specifically occurring as a direct consequence of the physiological stresses of labor and delivery. It represents a functional renal impairment without intrinsic kidney pathology, arising in the peripartum period.

Apply this code when documentation clearly indicates a diagnosis of hepatorenal syndrome that developed after a patient has undergone labor and delivery. Supporting documentation should specify the onset of renal dysfunction in the postpartum period and link it to the recent delivery event, often in the context of pre-existing or newly diagnosed liver dysfunction.

• Ensure the documentation explicitly states "following labor and delivery" to differentiate from hepatorenal syndrome occurring at other times.
• Code any underlying liver disease (e.g., cirrhosis, acute liver failure) as an additional diagnosis.
• Do not confuse with acute kidney injury (N17.-) or other types of renal failure not specifically attributed to hepatorenal syndrome following delivery.