Is K85.0 a billable ICD-10-CM code?

No. K85.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does K85.0 sit in the tabular list?

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

K85.0

K85.0 — Idiopathic acute pancreatitis

Non-billable headerICD-10-CM

K85.0 is a non-billable header ICD-10-CM code for idiopathic acute pancreatitis. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

K85.0 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 K85.0

3 child codes. Green means billable.

K85.00Idiopathic acute pancreatitis without necrosis or infection
K85.01Idiopathic acute pancreatitis with uninfected necrosis
K85.02Idiopathic acute pancreatitis with infected necrosis

Related codes at this level

Codes that share K85. If K85.0 is not quite right, the correct code is usually one of these.

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

Questions about K85.0

Is K85.0 a billable ICD-10-CM code?: No. K85.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K85.0 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).