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ICD-10/K86.89

K86.89 ICD-10-CM Code: Other specified diseases of pancreas

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 438 — DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC (MDC 07)
  • MS-DRG 439 — DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC (MDC 07)
  • MS-DRG 440 — DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC (MDC 07)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Other specified diseases of pancreas is a billable ICD-10-CM diagnosis code (K86.89).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for K86.89 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Aseptic pancreatic necrosis, unrelated to acute pancreatitis
  • Atrophy of pancreas
  • Calculus of pancreas
  • Cirrhosis of pancreas
  • Fibrosis of pancreas
  • Pancreatic fat necrosis, unrelated to acute pancreatitis
  • Pancreatic infantilism
  • Pancreatic necrosis NOS, unrelated to acute pancreatitis

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Other specified diseases of pancreas
    FY2017 changes

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of K86.89 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • K86.8 — Other specified diseases of pancreas [Hierarchy]

Referenced by Code First instructions

  • E08 — Diabetes mellitus due to underlying condition [Code First](via K86.-): “pancreatitis and other diseases of the pancreas (K85-K86.-)”

Clinical classification (CCSR)

  • DIG020 — Pancreatic disorders (excluding diabetes) [CCSR]

Potential MS-DRG

  • DRG 438 — DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC [MS-DRG]: “DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC (MDC 07)”
  • DRG 439 — DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC [MS-DRG]: “DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC (MDC 07)”
  • DRG 440 — DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC [MS-DRG]: “DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC (MDC 07)”

Index entries (33)

  • Atrophy, atrophic (of), pan… — Atrophy, atrophic (of), pancreas (duct) (senile) [Index term]
  • Burke's syndrome[Index term]
  • Calcification, pancreas[Index term]
  • Calculus, calculi, calculou… — Calculus, calculi, calculous, pancreas (duct) [Index term]
  • Cirrhosis, cirrhotic (hepat… — Cirrhosis, cirrhotic (hepatic) (liver), pancreas (duct) [Index term]
  • Clarke-Hadfield syndrome (p… — Clarke-Hadfield syndrome (pancreatic infantilism) [Index term]
  • Colic (bilious) (infantile)… — Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic), pancreas [Index term]
  • Congestion, congestive, pan… — Congestion, congestive, pancreas [Index term]
  • and 25 more

Nearest codes

  • K86 — Other diseases of pancreas [Sibling]
  • K86.0 — Alcohol-induced chronic pancreatitis [Sibling]
  • K86.1 — Other chronic pancreatitis [Sibling]
  • K86.2 — Cyst of pancreas [Sibling]
  • K86.3 — Pseudocyst of pancreas [Sibling]
  • K86.8 — Other specified diseases of pancreas [Sibling]
  • K86.81 — Exocrine pancreatic insufficiency [Sibling]
  • K86.9 — Disease of pancreas, unspecified [Sibling]

Change history

  • FY2017 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):DIG020 — Pancreatic disorders (excluding diabetes) (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 3 MS-DRGs: DRG 438 (MDC 07), DRG 439 (MDC 07), DRG 440 (MDC 07).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name K86.89 or its code family.

1 Code First instructions: E08 (via K86.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to K86.89 in its code family, with their registry titles.

  • K86 — Other diseases of pancreas
  • K86.0 — Alcohol-induced chronic pancreatitis
  • K86.1 — Other chronic pancreatitis
  • K86.2 — Cyst of pancreas
  • K86.3 — Pseudocyst of pancreas
  • K86.8 — Other specified diseases of pancreas
  • K86.81 — Exocrine pancreatic insufficiency
  • K86.9 — Disease of pancreas, unspecified

View all codes in the K86 family

Indexed Clinical Terms (33)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Atrophy, atrophic (of), pancreas (duct) (senile)
  • Burke's syndrome
  • Calcification, pancreas
  • Calculus, calculi, calculous, pancreas (duct)
  • Cirrhosis, cirrhotic (hepatic) (liver), pancreas (duct)
  • Clarke-Hadfield syndrome (pancreatic infantilism)
  • Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic), pancreas
  • Congestion, congestive, pancreas
  • Decrease (d), function, parenchyma of pancreas
  • Deficiency, deficient, lipocaic
  • Deformity, pancreas (congenital), acquired
  • Degeneration, degenerative, pancreas
  • Dilatation, pancreatic duct
  • Disease, diseased, pancreas, specified NEC
  • Dwarfism, pancreatic
  • Edema, edematous (infectious) (pitting) (toxic), pancreas
  • Fibrosis, fibrotic, pancreas
  • Fistula (cutaneous), pancreatic
  • Fistula (cutaneous), pancreaticoduodenal
  • Hemorrhage, hemorrhagic (concealed), pancreas
  • Hyperfunction, pancreas
  • Infancy, infantile, infantilism, pancreatic
  • Infarct, infarction, pancreas
  • Insufficiency, insufficient, pancreatic
  • Necrosis, necrotic (ischemic), fat, fatty (generalized), pancreas
  • Necrosis, necrotic (ischemic), pancreas (aseptic) (duct) (fat)
  • Obstruction, obstructed, obstructive, pancreatic duct
  • Pancreolithiasis
  • Rupture, ruptured, pancreas (nontraumatic)
  • Sclerosis, sclerotic, pancreas
  • Syndrome, Burke's
  • Syndrome, Clarke-Hadfield
  • Syndrome, Hadfield-Clarke