K86.9

K86.9: Disease of pancreas, unspecified

Billable / specific codeICD-10-CM

K86.9 is a billable, specific ICD-10-CM code for disease of pancreas, unspecified. It is valid for submission on a claim.

Check K86.9 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above K86.9

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

K86.9 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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
A57484Billing and Coding: Vitamin D Assay Testing

Alphabetic index entries that lead here

Disease, diseased›pancreas

Code history

Unchanged in every release from FY2024 to FY2027.