Is Z90.41 a billable ICD-10-CM code?

No. Z90.41 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Z90.41 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

What cannot be coded together with Z90.41?

Z90.41 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z90.41 (Z90) and apply to it just the same.

Z90.41

Z90.41 — Acquired absence of pancreas

Non-billable headerICD-10-CM

Z90.41 is a non-billable header ICD-10-CM code for acquired absence of pancreas. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify any associated:
diabetes mellitus, postpancreatectomy (E13.-)
insulin use (Z79.4)

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)

Excludes1 inherited from the categories above Z90.41

These are not written on Z90.41, but they bind it: a note on a category applies to every code beneath it. Billing Z90.41 with anything listed here is a denial.

Written on Z90 — Acquired absence of organs, not elsewhere classified

congenital absence - see Alphabetical Index

Excludes2 inherited from the categories above Z90.41

Also inherited, and the opposite of Excludes1: these conditions are not part of Z90.41, but a patient can have both, so you may code both.

Written on Z90 — Acquired absence of organs, not elsewhere classified

postprocedural absence of endocrine glands (E89.-)

Risk adjustment

Z90.41 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.

Code history

Z90.41 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead Z90.41

2 child codes. Green means billable.

Related codes at this level

Codes that share Z90.4. If Z90.41 is not quite right, the correct code is usually one of these.

Z90.49Acquired absence of other specified parts of digestive tract

Questions about Z90.41

Is Z90.41 a billable ICD-10-CM code?: No. Z90.41 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z90.41 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
What cannot be coded together with Z90.41?: Z90.41 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Z90.41 (Z90) and apply to it just the same.