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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 4; New/Revised ICD-10-CM Codes

Hepatorenal Syndrome Following Labor and Delivery and Other Postpartum Acute Kidney Failure

Code O90.4, Postpartum acute kidney failure, was expanded and new codes have been created to identify hepatorenal syndrome following labor and delivery (O90.41) and other postpartum acute kidney failure, including puerperal anuria and oliguria (O90.49). Hepatorenal syndrome (HRS) is a serious complication of decompensated liver disease, causing decreased renal perfusion that can lead to prerenal acute kidney failure. Postpartum acute kidney failure is a serious obstetric complication that increases the risk of maternal morbidity and mortality. Puerperal anuria refers to the lack of urine production or less than 100 mL per day following childbirth...

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