2025 ICD-10-CM code K86
Other diseases of pancreas
Medical necessity must be established by documenting the clinical signs, symptoms, and investigation results pointing to a pancreatic disorder not covered by a more specific code.
- Diseases of the digestive system (K00-K95)
- Disorders of gallbladder, biliary tract and pancreas (K80-K87)
In simple words: This code represents other diseases of the pancreas that are not classified elsewhere.
Other diseases of pancreas
Example 1: A patient presents with symptoms such as abdominal pain and weight loss, and after extensive testing, all other pancreatic conditions are ruled out. The physician diagnoses the patient with "other diseases of the pancreas," which may involve inflammation or dysfunction not fitting other categories., A patient with a history of cystic fibrosis develops pancreatic insufficiency not solely explained by the underlying condition, and the code K86 is used to indicate an additional pancreatic pathology., During an endoscopic procedure, abnormalities in the pancreas are detected, which cannot be classified as pancreatitis or any other specific disease. Hence, K86 is assigned for these unspecified pancreatic changes.
Documentation should support the diagnosis of a pancreatic condition not classifiable under other codes, including imaging results, lab tests, and clinical findings.
** Excludes2: fibrocystic disease of pancreas (E84.-), islet cell tumor (of pancreas) (D13.7), pancreatic steatorrhea (K90.3)
- Specialties:Gastroenterology, Internal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic