K87 — Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
K87 is a billable, specific ICD-10-CM code for disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Code first
The underlying condition must be sequenced before this code.
- underlying disease
Risk adjustment
K87 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
K87 is named in 9 Medicare coverage policies — 9 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
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56421Billing and Coding: CT of the Abdomen and Pelvis
How K87 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 K87.
- Disorder›gallbladder, biliary tract and pancreas in diseases classified elsewhere
Questions about K87
- Is K87 a billable ICD-10-CM code?
- Yes. K87 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K87 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).
- What cannot be coded together with K87?
- K87 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.