Valid for Submission
K86.9 is a billable diagnosis code used to specify a medical diagnosis of disease of pancreas, unspecified. The code K86.9 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code K86.9 might also be used to specify conditions or terms like cystic fibrosis of pancreas, diabetes mellitus associated with pancreatic disease, disorder of pancreas, exocrine pancreatic manifestation co-occurrent and due to cystic fibrosis, impaired glucose tolerance associated with pancreatic disease , pancreatic duct disorder, etc.
Unspecified diagnosis codes like K86.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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 K86.9 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cystic fibrosis of pancreas
- Diabetes mellitus associated with pancreatic disease
- Disorder of pancreas
- Exocrine pancreatic manifestation co-occurrent and due to cystic fibrosis
- Impaired glucose tolerance associated with pancreatic disease
- Pancreatic duct disorder
- Panniculitis due to action of lipolytic enzymes
- Panniculitis secondary to pancreatic disease
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|438||DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC||07||1.5963|
|439||DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC||07||0.8444|
|440||DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC||07||0.6059|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert K86.9 to ICD-9 Code
Information for Patients
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.
- Acute pancreatitis (Medical Encyclopedia)
- Amylase - blood (Medical Encyclopedia)
- Annular pancreas (Medical Encyclopedia)
- ERCP (Medical Encyclopedia)
- Lipase test (Medical Encyclopedia)
- Pancreatic pseudocyst (Medical Encyclopedia)
- Zollinger-Ellison syndrome (Medical Encyclopedia)
[Learn More in MedlinePlus]