K85.30 — Drug induced acute pancreatitis without necrosis or infection
K85.30 is a billable, specific ICD-10-CM code for drug induced acute pancreatitis without necrosis or infection. It is valid for submission on a claim.
Risk adjustment
K85.30 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.
Medicare coverage
K85.30 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
How K85.30 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K85.30.
- Pancreatitis›acute›drug induced(without necrosis or infection)
Related codes at this level
Codes that share K85.3. If K85.30 is not quite right, the correct code is usually one of these.
Questions about K85.30
- Is K85.30 a billable ICD-10-CM code?
- Yes. K85.30 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K85.30 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).