2025 ICD-10-CM code K85.01
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Idiopathic acute pancreatitis Diseases of the digestive system (K00-K95) Feed
Idiopathic acute pancreatitis with uninfected necrosis.
Modifiers may be applicable depending on the circumstances of the encounter and services rendered. Consult the official CPT modifier guidelines for appropriate modifier application.
Medical necessity for coding K85.01 is established by the presence of clinical symptoms and diagnostic evidence of acute pancreatitis with uninfected necrosis.The severity of symptoms and the need for hospitalization or surgical intervention would also contribute to establishing medical necessity.
The clinical responsibility for a patient with K85.01 would involve a gastroenterologist or general surgeon.The physician would conduct a thorough examination, order diagnostic tests (e.g., blood tests, imaging studies like CT scans or MRCP), and manage the patient's pain and symptoms. Depending on the severity, this may include admission to the hospital for close monitoring and supportive care, including fluid management and pain control.In severe cases, surgical intervention might be necessary.
- Diseases of the digestive system (K00-K95)
- Disorders of gallbladder, biliary tract and pancreas (K80-K87)
In simple words: This code describes a sudden inflammation of the pancreas that causes tissue damage but is not infected. The cause is unknown, and symptoms can include severe stomach pain, nausea, vomiting, diarrhea, fever, and even shock.
K85.01, Idiopathic acute pancreatitis with uninfected necrosis, is an ICD-10-CM code that classifies a specific type of acute pancreatitis.It's characterized by an acute inflammatory process in the pancreas leading to the death of pancreatic tissue (necrosis) without the presence of infection.This condition is idiopathic, meaning its cause is unknown.The patient may present with severe abdominal pain, nausea, vomiting, diarrhea, fever, and possibly shock.
Example 1: A 50-year-old male presents to the emergency room with sudden onset of severe abdominal pain radiating to the back.He is nauseous and vomiting. Blood tests show elevated pancreatic enzymes (amylase and lipase). A CT scan reveals areas of pancreatic necrosis without evidence of infection.The diagnosis is K85.01., A 35-year-old female experiences intense abdominal pain, fever, and elevated pancreatic enzymes. Imaging studies confirm areas of necrotic pancreatic tissue without infection. The patient is admitted to the hospital for intravenous fluids and pain management. The diagnosis is K85.01. , A 62-year-old man is admitted to the hospital for worsening abdominal pain, nausea and vomiting. Laboratory results show elevated amylase and lipase, and imaging reveals necrosis in the pancreas but without any signs of infection. K85.01 is assigned.
Detailed history and physical examination including pain characteristics, location, radiation; laboratory results (amylase, lipase, complete blood count, blood chemistry); imaging studies (CT scan, MRI, ultrasound); any relevant surgical reports or pathology findings if applicable.
** This code is for idiopathic acute pancreatitis with uninfected necrosis.Other types of acute pancreatitis (e.g., biliary, alcohol-induced) have separate ICD-10-CM codes.The presence or absence of infection and necrosis is crucial for accurate coding.
- Payment Status: Active
- Specialties:Gastroenterology, Surgery
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital