2027 ICD-10-CM Diagnosis Code K86.89Other specified diseases of pancreas
ICD-10-CM Codes›K00–K95›K80-K87›K86
- Billable — Valid for Submission
- Not Chronic
K86.89 is a billable ICD-10-CM diagnosis code for other specified diseases of pancreas. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 438 through 440. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pancreatic disorders (excluding diabetes).
K86.89 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 66 for payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
K86.89 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute pancreatic fluid collection
- Aseptic necrosis of pancreas
- Atrophy of pancreas
- Baggenstoss change of pancreas
- Calculus of pancreas
- Complete obstruction of pancreatic duct
- Congenital dyserythropoietic anemia
- Congenital pancreatic trypsin deficiency
- Cytochrome-c oxidase deficiency
- Deficiency of trypsin
- Diabetes mellitus associated with pancreatic disease
- Disorder of pancreatic duct anastomosis
- Dysfunction of sphincter of Oddi
- Exocrine pancreatic insufficiency
- Fat necrosis of pancreas
- Fatty pancreas
- Fibrocalculous pancreatic diabetes
- Fibrosis of pancreas
- Functional pancreatic sphincter of Oddi disorder
- Hemorrhage of pancreas
- Hemorrhage of pancreatic duct
- Infantile multisystem neurologic, endocrine, pancreatic disease
- Leakage from pancreatic tail
- Megaloblastic anemia due to pancreatic insufficiency
- Mild pancreatic duct dysplasia
- Moderate pancreatic duct dysplasia
- Necrosis of pancreas
- Pancreatemphraxis
- Pancreatic acinar atrophy
- Pancreatic acinar fistula
- Pancreatic alpha-amylase deficiency
- Pancreatic and peripancreatic necrosis
- Pancreatic ascites
- Pancreatic collection
- Pancreatic duct anastomotic stricture
- Pancreatic duct calculus
- Pancreatic duct dysplasia
- Pancreatic duct leakage
- Pancreatic duct obstruction
- Pancreatic duct obstruction by calculus
- Pancreatic duct stricture
- Pancreatic fistula
- Pancreatic insufficiency
- Pancreatic insufficiency due to cystic fibrosis of pancreas
- Pancreatic insufficiency, dyserythropoietic anemia, calvarial hyperostosis syndrome
- Pancreatic triacylglycerol lipase deficiency
- Pancreatitis due to pancreatic duct obstruction
- Peripancreatic hematoma
- Relapsing pancreatic necrosis
- Retroperitoneal fat necrosis
- Retroperitoneal hemorrhage
- Secondary pancreatic insufficiency
- Severe pancreatic duct dysplasia
- Subacute pancreatic necrosis
- Walled-off pancreatic necrosis
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to K86.89: its own notes plus those printed at K86 and Chapter 11. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- 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: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name K86.89, its category, or a range that includes it.
Code First 1
These codes say to code first a condition named in the note, and K86.89 is one of the conditions named.
- E08 Diabetes mellitus due to underlying condition
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Burke's syndrome K86.89
pancreas K86.89
pancreas K86.89
lipocaic K86.89
pancreatic duct K86.89
Disease, diseased See Also: Syndrome;
specified NEC K86.89
Dwarfism See Also: Short, stature; E34.328
pancreatic K86.89
pancreas K86.89
pancreatic K86.89
pancreaticoduodenal K86.89
pancreas K86.89
Infancy, infantile, infantilism See Also: condition;
pancreatic K86.89
pancreas K86.89
Necrosis, necrotic (ischemic) See Also: Gangrene;
fat, fatty (generalized) See Also: Disorder, soft tissue, specified type NEC;
pancreas K86.89
Pancreolithiasis K86.89
pancreas K86.89
Syndrome See Also: Disease;
Burke's K86.89
Clarke-Hadfield K86.89
Hadfield-Clarke K86.89
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert K86.89 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement K86.89 replaces the following previously assigned code(s):
- K86.8 - Other specified diseases of pancreas
Questions About K86.89Overview
What is the ICD-10 code for other specified diseases of pancreas?
The ICD-10-CM code for other specified diseases of pancreas is K86.89 (sometimes written as K8689). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is K86.89 (Other specified diseases of pancreas) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified diseases of pancreas on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does K86.89 group to?
When other specified diseases of pancreas is the principal diagnosis on an inpatient stay, it groups to MS-DRG 440, 438, 439, with relative weights from 0.5966 to 1.5763 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of K86.89?
Under the General Equivalence Mappings, other specified diseases of pancreas converts to ICD-9-CM 577.8 (pancreatic disease NEC). The mapping is approximate, so confirm the match fits the documentation.
Does K86.89 risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage: K86.89 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 66 (Pancreatic Disorders and Intestinal Malabsorption, Except Pancreatitis).
