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K86.81

K86.81: Exocrine pancreatic insufficiency

Billable / specific codeICD-10-CM

K86.81 is a billable, specific ICD-10-CM code for exocrine pancreatic insufficiency. It is valid for submission on a claim.

Check K86.81 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above K86.81

Not part of this code, but both may be coded when both are present.

Written on K86: Other diseases of pancreas

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K86.81 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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

Alphabetic index entries that lead here

  • Insufficiency, insufficient›pancreatic›exocrine

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under K86.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.