2025 ICD-10-CM code Z90.410
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status 22. Factors influencing health status and contact with health services (Z00-Z99) Feed
Acquired total absence of pancreas.
No modifiers are applicable to Z codes.
Medical necessity for the use of Z90.410 relates to the need to document the absence of the pancreas and its impact on the patient's health status. This is important for accurate tracking of post-surgical complications, management of associated conditions, and justification for related treatments.
Clinicians should document the cause of the acquired absence of the pancreas. For post-pancreatectomy cases, the original diagnosis necessitating the surgery (e.g., pancreatic cancer) should be coded as the primary diagnosis, followed by the Z90.410 code as a secondary diagnosis.
- 22. Factors influencing health status and contact with health services (Z00-Z99)
- Z90. Acquired absence of organs, not elsewhere classified Z90.4 Acquired absence of other specified parts of digestive tract Z90.41 Acquired absence of pancreas Z90.410 Acquired total absence of pancreas Z90.411 Acquired partial absence of pancreas
In simple words: This code indicates that the pancreas is completely missing due to surgery or another acquired reason, not because the person was born without it.
Acquired total absence of pancreas. This code is used to indicate the complete absence of the pancreas due to surgical removal (such as a total pancreatectomy) or other acquired causes. It excludes congenital absence of the pancreas.
Example 1: A patient who underwent a total pancreatectomy for pancreatic cancer three years prior presents for follow-up. The Z90.410 code is used along with the appropriate code for the long-term effects of malignant neoplasm of the pancreas., A patient presents with symptoms of exocrine pancreatic insufficiency.Upon review of medical history, it is discovered they had a total pancreatectomy. Z90.410 and K86.81 (exocrine pancreatic insufficiency) should be coded. , A patient with a history of traumatic injury to the abdomen presents with digestive issues. Imaging reveals complete absence of the pancreas. The Z90.410 code along with the code for the sequela of the abdominal injury would be used.
Documentation should clearly state the acquired absence of the pancreas, the cause (e.g., surgical removal, trauma), and any associated conditions such as diabetes or exocrine pancreatic insufficiency.
** Use additional codes to identify associated conditions such as diabetes (E13.-), insulin use (Z79.4), and exocrine pancreatic insufficiency (K86.81).
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Endocrinology, Gastroenterology, General Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Outpatient Hospital, Office, Other Place of Service