2017/18 ICD-10-CM Diagnosis Code Z90.41

Acquired absence of pancreas

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify any associated:
  • insulin use (
    ICD-10-CM Diagnosis Code Z79.4

    Long term (current) use of insulin

      2016 2017 2018 Billable/Specific Code POA Exempt
    Z79.4
    )
  • diabetes mellitus, postpancreatectomy (
    ICD-10-CM Diagnosis Code E13
    • E13 Other specified diabetes mellitus
      • E13.0 Other specified diabetes mellitus with hypero...
        • E13.00 Other specified diabetes mellitus with hypero...
        • E13.01 Other specified diabetes mellitus with hypero...
      • E13.1 Other specified diabetes mellitus with ketoac...
        • E13.10 Other specified diabetes mellitus with ketoac...
        • E13.11 Other specified diabetes mellitus with ketoac...
      • E13.2 Other specified diabetes mellitus with kidney...
        • E13.21 Other specified diabetes mellitus with diabet...
        • E13.22 Other specified diabetes mellitus with diabet...
        • E13.29 Other specified diabetes mellitus with other ...
      • E13.3 Other specified diabetes mellitus with ophtha...
        • E13.31 Other specified diabetes mellitus with unspec...
          • E13.311 Other specified diabetes mellitus with unspec...
          • E13.319 Other specified diabetes mellitus with unspec...
        • E13.32 Other specified diabetes mellitus with mild n...
          • E13.321 Other specified diabetes mellitus with mild n...
            • E13.3211 Other specified diabetes mellitus with mild n...
            • E13.3212 Other specified diabetes mellitus with mild n...
            • E13.3213 Other specified diabetes mellitus with mild n...
            • E13.3219 Other specified diabetes mellitus with mild n...
          • E13.329 Other specified diabetes mellitus with mild n...
            • E13.3291 Other specified diabetes mellitus with mild n...
            • E13.3292 Other specified diabetes mellitus with mild n...
            • E13.3293 Other specified diabetes mellitus with mild n...
            • E13.3299 Other specified diabetes mellitus with mild n...
        • E13.33 Other specified diabetes mellitus with modera...
          • E13.331 Other specified diabetes mellitus with modera...
            • E13.3311 Other specified diabetes mellitus with modera...
            • E13.3312 Other specified diabetes mellitus with modera...
            • E13.3313 Other specified diabetes mellitus with modera...
            • E13.3319 Other specified diabetes mellitus with modera...
          • E13.339 Other specified diabetes mellitus with modera...
            • E13.3391 Other specified diabetes mellitus with modera...
            • E13.3392 Other specified diabetes mellitus with modera...
            • E13.3393 Other specified diabetes mellitus with modera...
            • E13.3399 Other specified diabetes mellitus with modera...
        • E13.34 Other specified diabetes mellitus with severe...
          • E13.341 Other specified diabetes mellitus with severe...
            • E13.3411 Other specified diabetes mellitus with severe...
            • E13.3412 Other specified diabetes mellitus with severe...
            • E13.3413 Other specified diabetes mellitus with severe...
            • E13.3419 Other specified diabetes mellitus with severe...
          • E13.349 Other specified diabetes mellitus with severe...
            • E13.3491 Other specified diabetes mellitus with severe...
            • E13.3492 Other specified diabetes mellitus with severe...
            • E13.3493 Other specified diabetes mellitus with severe...
            • E13.3499 Other specified diabetes mellitus with severe...
        • E13.35 Other specified diabetes mellitus with prolif...
          • E13.351 Other specified diabetes mellitus with prolif...
            • E13.3511 Other specified diabetes mellitus with prolif...
            • E13.3512 Other specified diabetes mellitus with prolif...
            • E13.3513 Other specified diabetes mellitus with prolif...
            • E13.3519 Other specified diabetes mellitus with prolif...
          • E13.352 Other specified diabetes mellitus with prolif...
            • E13.3521 Other specified diabetes mellitus with prolif...
            • E13.3522 Other specified diabetes mellitus with prolif...
            • E13.3523 Other specified diabetes mellitus with prolif...
            • E13.3529 Other specified diabetes mellitus with prolif...
          • E13.353 Other specified diabetes mellitus with prolif...
            • E13.3531 Other specified diabetes mellitus with prolif...
            • E13.3532 Other specified diabetes mellitus with prolif...
            • E13.3533 Other specified diabetes mellitus with prolif...
            • E13.3539 Other specified diabetes mellitus with prolif...
          • E13.354 Other specified diabetes mellitus with prolif...
            • E13.3541 Other specified diabetes mellitus with prolif...
            • E13.3542 Other specified diabetes mellitus with prolif...
            • E13.3543 Other specified diabetes mellitus with prolif...
            • E13.3549 Other specified diabetes mellitus with prolif...
          • E13.355 Other specified diabetes mellitus with stable...
            • E13.3551 Other specified diabetes mellitus with stable...
            • E13.3552 Other specified diabetes mellitus with stable...
            • E13.3553 Other specified diabetes mellitus with stable...
            • E13.3559 Other specified diabetes mellitus with stable...
          • E13.359 Other specified diabetes mellitus with prolif...
            • E13.3591 Other specified diabetes mellitus with prolif...
            • E13.3592 Other specified diabetes mellitus with prolif...
            • E13.3593 Other specified diabetes mellitus with prolif...
            • E13.3599 Other specified diabetes mellitus with prolif...
        • E13.36 Other specified diabetes mellitus with diabet...
        • E13.37 Other specified diabetes mellitus with diabet...
          • E13.37X1 Other specified diabetes mellitus with diabet...
          • E13.37X2 Other specified diabetes mellitus with diabet...
          • E13.37X3 Other specified diabetes mellitus with diabet...
          • E13.37X9 Other specified diabetes mellitus with diabet...
        • E13.39 Other specified diabetes mellitus with other ...
      • E13.4 Other specified diabetes mellitus with neurol...
        • E13.40 Other specified diabetes mellitus with diabet...
        • E13.41 Other specified diabetes mellitus with diabet...
        • E13.42 Other specified diabetes mellitus with diabet...
        • E13.43 Other specified diabetes mellitus with diabet...
        • E13.44 Other specified diabetes mellitus with diabet...
        • E13.49 Other specified diabetes mellitus with other ...
      • E13.5 Other specified diabetes mellitus with circul...
        • E13.51 Other specified diabetes mellitus with diabet...
        • E13.52 Other specified diabetes mellitus with diabet...
        • E13.59 Other specified diabetes mellitus with other ...
      • E13.6 Other specified diabetes mellitus with other ...
        • E13.61 Other specified diabetes mellitus with diabet...
          • E13.610 Other specified diabetes mellitus with diabet...
          • E13.618 Other specified diabetes mellitus with other ...
        • E13.62 Other specified diabetes mellitus with skin c...
          • E13.620 Other specified diabetes mellitus with diabet...
          • E13.621 Other specified diabetes mellitus with foot u...
          • E13.622 Other specified diabetes mellitus with other ...
          • E13.628 Other specified diabetes mellitus with other ...
        • E13.63 Other specified diabetes mellitus with oral c...
          • E13.630 Other specified diabetes mellitus with period...
          • E13.638 Other specified diabetes mellitus with other ...
        • E13.64 Other specified diabetes mellitus with hypogl...
          • E13.641 Other specified diabetes mellitus with hypogl...
          • E13.649 Other specified diabetes mellitus with hypogl...
        • E13.65 Other specified diabetes mellitus with hyperg...
        • E13.69 Other specified diabetes mellitus with other ...
      • E13.8 Other specified diabetes mellitus with unspec...
      • E13.9 Other specified diabetes mellitus without com...
    E13.-
    )
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • exocrine pancreatic insufficiency (
    ICD-10-CM Diagnosis Code K86.81

    Exocrine pancreatic insufficiency

      2017 - New Code 2018 Billable/Specific Code
    K86.81
    )
The following code(s) above Z90.41 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z90.41:
  • Z00-Z99
    2018 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z77-Z99
    2018 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Code Also
    • any follow-up examination (Z08-Z09)
    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • Z90
    ICD-10-CM Diagnosis Code Z90

    Acquired absence of organs, not elsewhere classified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • postprocedural or post-traumatic loss of body part NEC
    Type 1 Excludes
    • congenital absence - see Alphabetical Index
    Type 2 Excludes
    • postprocedural absence of endocrine glands (E89.-)
    Acquired absence of organs, not elsewhere classified
Code History
Code annotations containing back-references to Z90.41:
ICD-10-CM Codes Adjacent To Z90.41
Z90.02 Acquired absence of larynx
Z90.09 Acquired absence of other part of head and neck
Z90.1 Acquired absence of breast and nipple
Z90.10 Acquired absence of unspecified breast and nipple
Z90.11 Acquired absence of right breast and nipple
Z90.12 Acquired absence of left breast and nipple
Z90.13 Acquired absence of bilateral breasts and nipples
Z90.2 Acquired absence of lung [part of]
Z90.3 Acquired absence of stomach [part of]
Z90.4 Acquired absence of other specified parts of digestive tract
Z90.41 Acquired absence of pancreas
Z90.410 Acquired total absence of pancreas
Z90.411 Acquired partial absence of pancreas
Z90.49 Acquired absence of other specified parts of digestive tract
Z90.5 Acquired absence of kidney
Z90.6 Acquired absence of other parts of urinary tract
Z90.7 Acquired absence of genital organ(s)
Z90.71 Acquired absence of cervix and uterus
Z90.710 Acquired absence of both cervix and uterus
Z90.711 Acquired absence of uterus with remaining cervical stump
Z90.712 Acquired absence of cervix with remaining uterus

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.