Is K86.0 a billable ICD-10-CM code?

Yes. K86.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K86.0 sit in the tabular list?

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

K86.0

K86.0 — Alcohol-induced chronic pancreatitis

Billable / specific codeICD-10-CM

K86.0 is a billable, specific ICD-10-CM code for alcohol-induced chronic pancreatitis. It is valid for submission on a claim.

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.

alcohol induced acute pancreatitis (K85.2-)

Use additional code

Add a secondary code to capture the detail described below.

code to identify:
alcohol abuse and dependence (F10.-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

exocrine pancreatic insufficiency (K86.81)

Risk adjustment

K86.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 79 Chronic Pancreatitis0.357 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

K86.0 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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
A56841Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed

How K86.0 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 K86.0.

Pancreatitis›chronic›alcohol-induced

Related codes at this level

Codes that share K86. If K86.0 is not quite right, the correct code is usually one of these.

Questions about K86.0

Is K86.0 a billable ICD-10-CM code?: Yes. K86.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K86.0 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).