K86

Non-Billable
ChapterK00–K95
Rankcategory
Official Description

Other diseases of pancreas

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 11: Diseases of the Digestive System (K00-K95).

CH11 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • 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)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • fibrocystic disease of pancreas (E84.-)
  • islet cell tumor (of pancreas) (D13.7)
  • pancreatic steatorrhea (K90.3)

Clinical Hierarchy

BillableHas subcodes
CH11Diseases of the digestive system (K00-K95)
K80-K87Disorders of gallbladder, biliary tract and pancreas (K80-K87)
K86Other diseases of pancreasNot billable
K86.0Alcohol-induced chronic pancreatitisBillable
K86.1Other chronic pancreatitisBillable
K86.2Cyst of pancreasBillable
K86.3Pseudocyst of pancreasBillable
K86.8Other specified diseases of pancreasSubcodes
K86.9Disease of pancreas, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to K86:

chapterCH11
Diseases of the digestive system (K00-K95)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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