2025 ICD-10-CM code K85.81
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Disorders of gallbladder, biliary tract and pancreas (K80-K87) Diseases of the digestive system (K00-K95) Feed
Other acute pancreatitis with uninfected necrosis.
Medical necessity for coding K85.81 is established through documentation of symptoms consistent with acute pancreatitis, laboratory evidence of pancreatic inflammation (elevated amylase and/or lipase), and imaging findings demonstrating pancreatic necrosis.The absence of infection in the necrotic areas is also critical for accurate coding.
Diagnosis and management of acute pancreatitis, including monitoring for complications such as infection or organ failure.May involve ordering laboratory tests, imaging studies, and other diagnostic procedures.Treatment may include fluid resuscitation, pain management, nutritional support, and possibly surgical intervention.
In simple words: This code is for a type of sudden inflammation of the pancreas where some tissue has died but there's no infection.The pancreas is an organ that helps with digestion.
This ICD-10-CM code classifies other acute pancreatitis cases where necrosis (tissue death) is present but hasn't become infected.It encompasses acute and recurrent pancreatitis, and subacute pancreatitis, excluding those with infected necrosis or other specified conditions.
Example 1: A 55-year-old male presents with severe epigastric pain radiating to the back, nausea, vomiting, and elevated amylase and lipase levels. Imaging reveals areas of necrosis in the pancreas without evidence of infection.The patient is diagnosed with K85.81., A 30-year-old female with a history of gallstones experiences acute onset of abdominal pain. CT scan shows acute pancreatitis with uninfected pancreatic necrosis.The patient's condition is coded as K85.81., A 70-year-old male with a history of alcohol abuse develops recurrent episodes of acute pancreatitis.A recent CT scan reveals areas of pancreatic necrosis that are not infected.This episode of acute pancreatitis is coded as K85.81.
Complete history and physical examination, including details of symptoms (e.g., onset, duration, severity, location of pain), risk factors (e.g., alcohol use, gallstones), and any relevant medical history.Laboratory results (e.g., amylase, lipase, complete blood count).Imaging studies (e.g., CT scan, MRI) to confirm the diagnosis and assess the extent of pancreatic necrosis.Documentation of treatment provided and patient response to treatment.
** K85.81 is a specific code for acute pancreatitis with uninfected necrosis.It's crucial to differentiate this from cases with infected necrosis, which require a different code.Always consult the latest ICD-10-CM guidelines and ensure accurate documentation to support the chosen code.
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital