Is K85.3 a billable ICD-10-CM code?

No. K85.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does K85.3 sit in the tabular list?

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

K85.3

K85.3 — Drug induced acute pancreatitis

Non-billable headerICD-10-CM

K85.3 is a non-billable header ICD-10-CM code for drug induced acute pancreatitis. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code to identify drug abuse and dependence (F11.-F17.-)

Risk adjustment

K85.3 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 K85.3

3 child codes. Green means billable.

Related codes at this level

Codes that share K85. If K85.3 is not quite right, the correct code is usually one of these.

Questions about K85.3

Is K85.3 a billable ICD-10-CM code?: No. K85.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K85.3 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).