Is K86 a billable ICD-10-CM code?

No. K86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does K86 sit in the tabular list?

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

K86

K86 — Other diseases of pancreas

Non-billable headerICD-10-CM

K86 is a non-billable header ICD-10-CM code for other diseases of pancreas. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

fibrocystic disease of pancreas (E84.-)
islet cell tumor (of pancreas) (D13.7)
pancreatic steatorrhea (K90.3)

Risk adjustment

K86 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 K86

6 child codes. Green means billable.

Questions about K86

Is K86 a billable ICD-10-CM code?: No. K86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K86 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).