2026 ICD-10-CM Diagnosis Code K86.1Other chronic pancreatitis
ICD-10-CM Codes›K00–K95›K80-K87›K86
- Billable — Valid for Submission
- Chronic Condition
K86.1 is a billable ICD-10-CM diagnosis code for other chronic pancreatitis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 438 through 440. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pancreatic disorders (excluding diabetes).
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute on chronic pancreatitis
- Calcific chronic pancreatitis
- Chronic fibrosing pancreatitis
- Chronic infectious pancreatitis
- Chronic pancreatitis
- Chronic pancreatitis due to gallbladder calculus
- Drug-induced chronic pancreatitis
- Familial chronic pancreatitis
- Fibrosis of pancreas
- Groove pancreatitis
- Hereditary pancreatitis
- Idiopathic chronic pancreatitis
- Infectious pancreatitis
- Interstitial pancreatitis
- Metabolic pancreatitis
- Obstructive chronic pancreatitis
- Pseudocyst of pancreas
- Pseudocyst of pancreas due to chronic pancreatitis
- Recurrent pancreatitis
- Relapsing pancreatitis
- Tropical calcific chronic pancreatitis
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Chronic pancreatitis NOS
- Infectious chronic pancreatitis
- Recurrent chronic pancreatitis
- Relapsing chronic pancreatitis
Code Also
- exocrine pancreatic insufficiency K86.81
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) - I10
- Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative) - K85.90
- chronic (infectious) - K86.1
- cystic (chronic) - K86.1
- fibrous (chronic) - K86.1
- interstitial (chronic) - K86.1
- chronic - K86.1
- relapsing, chronic - K86.1
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Hypertension, hypertensive(accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)
- pancreatic duct - code to underlying condition
- with chronic pancreatitis
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- chronic (infectious)
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- chronic (infectious)
- recurrent
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- chronic (infectious)
- relapsing
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- cystic (chronic)
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- fibrous (chronic)
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- interstitial (chronic)
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- recurrent
- chronic
- Pancreatitis(annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)
- relapsing, chronic
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Pancreatitis
The pancreas is a large gland behind the stomach and close to the first part of the small intestine. It secretes digestive juices into the small intestine through a tube called the pancreatic duct. The pancreas also releases the hormones insulin and glucagon into the bloodstream.
Read the full article at MedlinePlus
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Convert K86.1 to ICD-9-CMHistory
Code HistoryHistory
Questions About K86.1Overview
Is K86.1 (Other diseases of pancreas) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other chronic pancreatitis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does K86.1 group to?
When other chronic pancreatitis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 438, 439, 440, with relative weights from 0.6214 to 1.6302 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of K86.1?
Under the General Equivalence Mappings, other chronic pancreatitis converts to ICD-9-CM 577.1 (chronic pancreatitis) and 577.8 (pancreatic disease NEC). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
