Is K85 a billable ICD-10-CM code?

No. K85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does K85 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).

K85

K85 — Acute pancreatitis

Non-billable headerICD-10-CM

K85 is a non-billable header ICD-10-CM code for acute pancreatitis. It cannot be billed on its own: choose one of the more specific child codes below.

Includes

Conditions this code covers.

acute (recurrent) pancreatitis
subacute pancreatitis

Risk adjustment

K85 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead K85

6 child codes. Green means billable.

K85.0Idiopathic acute pancreatitis
K85.1Biliary acute pancreatitis
K85.2Alcohol induced acute pancreatitis
K85.3Drug induced acute pancreatitis
K85.8Other acute pancreatitis
K85.9Acute pancreatitis, unspecified

Questions about K85

Is K85 a billable ICD-10-CM code?: No. K85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K85 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).