2026 ICD-10-CM Diagnosis Code Z90.410Acquired total absence of pancreas

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z90

ICD-10-CM Z90.410
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z90.410 is a billable ICD-10-CM diagnosis code for acquired total absence of pancreas. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as H/O: major abdominal surgery. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Acquired absence of limb or organ.

Code Identity

ICD-10-CM Code
Z90.410
Billable Status
Yes — Valid for Submission
Code Describes
Acquired total absence of pancreas
Short Description
Acquired total absence of pancreas
Same as the full description in the CMS dataset.
Parent Code
Z90.41
Acquired absence of pancreas

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ90Acquired absence of organs, not elsewhere classified
This CodeZ90.410Acquired total absence of pancreas

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z90.410.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z90.410 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • H/O: major abdominal surgery
  • History of cholecystectomy
  • History of excision of intestinal structure
  • History of excision of small intestine
  • History of gastrectomy
  • History of pancreatectomy
  • History of partial gastrectomy
  • History of total pancreatectomy
  • History of Whipple procedure

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Acquired absence of pancreas NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Absence(of) (organ or part) (complete or partial)
      • pancreas (congenital)
        • acquired
    • Absence(of) (organ or part) (complete or partial)
      • pancreas (congenital)
        • acquired
          • complete
    • Absence(of) (organ or part) (complete or partial)
      • pancreas (congenital)
        • acquired
          • total
    • Status(post)
      • pancreatectomy
    • Status(post)
      • pancreatectomy
        • complete
    • Status(post)
      • pancreatectomy
        • total

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC022
Acquired absence of limb or organ
Default principal diagnosis: inpatient No · outpatient Yes

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 Z90.410 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V88.11 Acq total absnc pancreas
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z90.410Overview

Is Z90.410 (Acquired absence of pancreas) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report acquired total absence of pancreas on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z90.410 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because acquired total absence of pancreas describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z90.410 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for acquired total absence of pancreas on inpatient claims.

What is the ICD-9 equivalent of Z90.410?

Under the General Equivalence Mappings, acquired total absence of pancreas converts to ICD-9-CM V88.11 (acq total absnc pancreas). The mapping is a direct match.