DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

K86 Other diseases of pancreas

  • Header · not billable

K86 is not billable. The category heads 7 billable codes in FY2027, grouped under 6 subdivisions.

Index → code

  • Burke's syndrome → K86.89
  • Pancreolithiasis → K86.89
  • Clarke-Hadfield syndrome (pancreatic infantilism) → K86.89

Where it sits

  1. Chapter 11 Diseases of the digestive system (K00-K95)
  2. K80-K87 Disorders of gallbladder, biliary tract and pancreas (K80-K87)
  3. K86 Other diseases of pancreas
Billable codes
7
Subdivisions
6
CC / MCC codes
4 / 0
HCC V28 codes
2
New FY2027
0
Index entries
49

Codes in K86

  1. K86.0
    Alcohol-induced chronic pancreatitis
    BillableCC79
    Excludes2 1, Use additional code 2, Code also 1

    Excludes2

    • alcohol induced acute pancreatitis (K85.2-) K85.2

    Use additional code

    • code to identify:
    • alcohol abuse and dependence (F10.-) F10

    Code also

    • exocrine pancreatic insufficiency (K86.81) K86.81
  2. K86.1
    Other chronic pancreatitis
    BillableCC79
    Inclusion terms 4, Code also 1

    Inclusion terms

    • Chronic pancreatitis NOS
    • Infectious chronic pancreatitis
    • Recurrent chronic pancreatitis
    • Relapsing chronic pancreatitis

    Code also

    • exocrine pancreatic insufficiency (K86.81) K86.81
  3. K86.2
    Cyst of pancreas
    BillableCC
  4. K86.3
    Pseudocyst of pancreas
    BillableCC
  5. K86.8
    Other specified diseases of pancreas
    Header
  6. K86.81
    Exocrine pancreatic insufficiency
    Billable
  7. K86.89
    Other specified diseases of pancreas
    Billable
    Inclusion terms 8

    Inclusion terms

    • 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
  8. K86.9
    Disease of pancreas, unspecified
    Billable

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At K86

Excludes2

  • fibrocystic disease of pancreas (E84.-) E84
  • islet cell tumor (of pancreas) (D13.7) D13.7
  • pancreatic steatorrhea (K90.3) K90.3

Notes that also apply

Chapter 11 instructions (Excludes2 8): printed on the chapter 11 page.

Index entries

  • Burke's syndrome → K86.89
  • Clarke-Hadfield syndrome (pancreatic infantilism) → K86.89
  • Pancreolithiasis → K86.89
  • Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)chronic (infectious) → K86.1
  • Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)cystic (chronic) → K86.1
  • Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)fibrous (chronic) → K86.1
  • Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)interstitial (chronic) → K86.1
  • Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)relapsing, chronic → K86.1
  • Cyst (colloid) (mucous) (simple) (retention)pancreas, pancreatic (hemorrhagic) (true) → K86.2
  • Pseudocystpancreas → K86.3
  • Atrophy, atrophic (of)pancreas (duct) (senile) → K86.89
  • Calcificationpancreas → K86.89
  • Calculus, calculi, calculouspancreas (duct) → K86.89
  • Cirrhosis, cirrhotic (hepatic) (liver)pancreas (duct) → K86.89
  • Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic)pancreas → K86.89
  • Congestion, congestivepancreas → K86.89
  • Deficiency, deficientlipocaic → K86.89
  • Degeneration, degenerativepancreas → K86.89
  • Dilatationpancreatic duct → K86.89
  • Dwarfismpancreatic → K86.89
  • Edema, edematous (infectious) (pitting) (toxic)pancreas → K86.89
  • Fibrosis, fibroticpancreas → K86.89
  • Fistula (cutaneous)pancreatic → K86.89
  • Fistula (cutaneous)pancreaticoduodenal → K86.89
  • Hemorrhage, hemorrhagic (concealed)pancreas → K86.89
  • Hyperfunctionpancreas → K86.89
  • Infancy, infantile, infantilismpancreatic → K86.89
  • Infarct, infarctionpancreas → K86.89
  • Insufficiency, insufficientpancreatic → K86.89
  • Necrosis, necrotic (ischemic)pancreas (aseptic) (duct) (fat) → K86.89
  • Obstruction, obstructed, obstructivepancreatic duct → K86.89
  • Rupture, rupturedpancreas (nontraumatic) → K86.89
  • Sclerosis, scleroticpancreas → K86.89
  • SyndromeBurke's → K86.89
  • SyndromeClarke-Hadfield → K86.89
  • SyndromeHadfield-Clarke → K86.89
  • Disease, diseasedpancreas → K86.9
  • Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)chronic (infectious)alcohol-induced → K86.0
  • Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic)pancreatic duct - code to underlying conditionwith chronic pancreatitis → K86.1
  • Pancreatitis (annular) (apoplectic) (calcareous) (edematous) (hemorrhagic) (malignant) (subacute) (suppurative)chronic (infectious)recurrent → K86.1

9 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy