K90.81
K90.81: Whipple's disease
Billable / specific codeICD-10-CM
K90.81 is a billable, specific ICD-10-CM code for whipple's disease. It is valid for submission on a claim.
Check K90.81 with the rest of the claim: free scrubberOther codes that can never be billed with K90.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K90.81 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56841Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Alphabetic index entries that lead here
- Whipple's disease
- Lipodystrophy›intestinal
- Arthropathy›in›Whipple's disease
Code history
Unchanged in every release from FY2024 to FY2027.