2025 ICD-10-CM code Z90.411
(Valid) 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 21. Factors influencing health status and contact with health services (Z00-Z99) Feed
Acquired partial absence of pancreas.
Medical necessity for using Z90.411 is established when the acquired partial absence of the pancreas influences the patient's current health status or treatment plan. The documentation should support the relationship between the absent portion of the pancreas and the reason for the encounter.
Clinicians should document the cause of the partial absence of the pancreas, such as surgery, injury or disease, the extent of pancreatic function, related diagnoses like diabetes, and any ongoing treatment or monitoring.
- 21. Factors influencing health status and contact with health services (Z00-Z99)
- Z90-Z99: Persons with potential health hazards related to family and personal history and certain conditions influencing health status
In simple words: This code indicates that part of your pancreas is missing or no longer works due to a past event, not something you were born with.
This code represents a patient with an acquired partial absence of the pancreas.This indicates a part of the pancreas has been removed or is no longer functioning due to non-congenital causes, such as surgery, injury, or disease.
Example 1: A patient who underwent a partial pancreatectomy for pancreatic cancer now requires follow-up care. The Z90.411 code along with the appropriate code for the history of malignancy would be used., A patient with chronic pancreatitis experiences gradual loss of pancreatic function, leading to a clinical state of partial pancreatic absence. This condition can be coded as Z90.411 along with the code for chronic pancreatitis. , A patient presents for diabetes management several years after a traumatic injury that resulted in the loss of a portion of the pancreas. Z90.411 along with the appropriate diabetes code should be used.
Documentation should clearly state the portion of the pancreas absent, the etiology (cause) of the absence (e.g., surgical removal, trauma, necrosis), and any residual pancreatic function or related complications.
** The status of this code is current as of December 1, 2024.
- Payment Status: Valid
- Specialties:Endocrinology, Gastroenterology, General Surgery, Internal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic