ICD-10-CM Code K86.81

Exocrine pancreatic insufficiency

Version 2020 Billable Code

Valid for Submission

K86.81 is a billable code used to specify a medical diagnosis of exocrine pancreatic insufficiency. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code K86.81 might also be used to specify conditions or terms like exocrine pancreatic insufficiency or pancreatic insufficiency.

ICD-10:K86.81
Short Description:Exocrine pancreatic insufficiency
Long Description:Exocrine pancreatic insufficiency

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K86.81 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Exocrine pancreatic insufficiency
  • Pancreatic insufficiency

Clinical Information

  • EXOCRINE PANCREATIC INSUFFICIENCY-. a malabsorption condition resulting from greater than 10% reduction in the secretion of pancreatic digestive enzymes lipase; proteases; and amylase by the exocrine pancreas into the duodenum. this condition is often associated with cystic fibrosis and with chronic pancreatitis.

Diagnostic Related Groups

The ICD-10 code K86.81 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
  • 439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
  • 440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC

Replacement Code

K8681 replaces the following previously assigned ICD-10 code(s):

  • K86.8 - Other specified diseases of pancreas

Convert K86.81 to ICD-9

  • 577.8 - Pancreatic disease NEC (Approximate Flag)

Code Classification

  • Diseases of the digestive system (K00–K93)
    • Disorders of gallbladder, biliary tract and pancreas (K80-K87)
      • Other diseases of pancreas (K86)

Code History

  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Pancreatic Diseases

The pancreas is a gland behind your stomach and in front of your spine. It produces juices that help break down food and hormones that help control blood sugar levels. Problems with the pancreas can lead to many health problems. These include

  • Pancreatitis, or inflammation of the pancreas: This happens when digestive enzymes start digesting the pancreas itself
  • Pancreatic cancer
  • Cystic fibrosis, a genetic disorder in which thick, sticky mucus can also block tubes in your pancreas

The pancreas also plays a role in diabetes. In type 1 diabetes, the beta cells of the pancreas no longer make insulin because the body's immune system has attacked them. In type 2 diabetes, the pancreas loses the ability to secrete enough insulin in response to meals.


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