DRG 438

Disorders of pancreas except malignancy with mcc

  • B25.2
    Cytomegaloviral pancreatitis
  • B26.3
    Mumps pancreatitis
  • D13.6
    Benign neoplasm of pancreas
  • K85.00
    Idiopathic acute pancreatitis without necrosis or infection
  • K85.01
    Idiopathic acute pancreatitis with uninfected necrosis
  • K85.02
    Idiopathic acute pancreatitis with infected necrosis
  • K85.10
    Biliary acute pancreatitis without necrosis or infection
  • K85.11
    Biliary acute pancreatitis with uninfected necrosis
  • K85.12
    Biliary acute pancreatitis with infected necrosis
  • K85.20
    Alcohol induced acute pancreatitis without necrosis or infection
  • K85.21
    Alcohol induced acute pancreatitis with uninfected necrosis
  • K85.22
    Alcohol induced acute pancreatitis with infected necrosis
  • K85.30
    Drug induced acute pancreatitis without necrosis or infection
  • K85.31
    Drug induced acute pancreatitis with uninfected necrosis
  • K85.32
    Drug induced acute pancreatitis with infected necrosis
  • K85.80
    Other acute pancreatitis without necrosis or infection
  • K85.81
    Other acute pancreatitis with uninfected necrosis
  • K85.82
    Other acute pancreatitis with infected necrosis
  • K85.90
    Acute pancreatitis without necrosis or infection, unspecified
  • K85.91
    Acute pancreatitis with uninfected necrosis, unspecified
  • K85.92
    Acute pancreatitis with infected necrosis, unspecified
  • K86.0
    Alcohol-induced chronic pancreatitis
  • K86.1
    Other chronic pancreatitis
  • K86.2
    Cyst of pancreas
  • K86.3
    Pseudocyst of pancreas
  • K86.81
    Exocrine pancreatic insufficiency
  • K86.89
    Other specified diseases of pancreas
  • K86.9
    Disease of pancreas, unspecified
  • Q45.0
    Agenesis, aplasia and hypoplasia of pancreas
  • Q45.1
    Annular pancreas
  • Q45.2
    Congenital pancreatic cyst
  • Q45.3
    Other congenital malformations of pancreas and pancreatic duct
  • S36.200A
    Unspecified injury of head of pancreas, initial encounter
  • S36.201A
    Unspecified injury of body of pancreas, initial encounter
  • S36.202A
    Unspecified injury of tail of pancreas, initial encounter
  • S36.209A
    Unspecified injury of unspecified part of pancreas, initial encounter
  • S36.220A
    Contusion of head of pancreas, initial encounter
  • S36.221A
    Contusion of body of pancreas, initial encounter
  • S36.222A
    Contusion of tail of pancreas, initial encounter
  • S36.229A
    Contusion of unspecified part of pancreas, initial encounter
  • S36.230A
    Laceration of head of pancreas, unspecified degree, initial encounter
  • S36.231A
    Laceration of body of pancreas, unspecified degree, initial encounter
  • S36.232A
    Laceration of tail of pancreas, unspecified degree, initial encounter
  • S36.239A
    Laceration of unspecified part of pancreas, unspecified degree, initial encounter
  • S36.240A
    Minor laceration of head of pancreas, initial encounter
  • S36.241A
    Minor laceration of body of pancreas, initial encounter
  • S36.242A
    Minor laceration of tail of pancreas, initial encounter
  • S36.249A
    Minor laceration of unspecified part of pancreas, initial encounter
  • S36.250A
    Moderate laceration of head of pancreas, initial encounter
  • S36.251A
    Moderate laceration of body of pancreas, initial encounter
  • S36.252A
    Moderate laceration of tail of pancreas, initial encounter
  • S36.259A
    Moderate laceration of unspecified part of pancreas, initial encounter
  • S36.260A
    Major laceration of head of pancreas, initial encounter
  • S36.261A
    Major laceration of body of pancreas, initial encounter
  • S36.262A
    Major laceration of tail of pancreas, initial encounter
  • S36.269A
    Major laceration of unspecified part of pancreas, initial encounter
  • S36.290A
    Other injury of head of pancreas, initial encounter
  • S36.291A
    Other injury of body of pancreas, initial encounter
  • S36.292A
    Other injury of tail of pancreas, initial encounter
  • S36.299A
    Other injury of unspecified part of pancreas, initial encounter
  • T86.890
    Other transplanted tissue rejection
  • T86.891
    Other transplanted tissue failure
  • T86.892
    Other transplanted tissue infection
  • T86.898
    Other complications of other transplanted tissue
  • T86.899
    Unspecified complication of other transplanted tissue
  • Z94.83
    Pancreas transplant status
ICD-10-CM B25.2

Cytomegaloviral pancreatitis

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM B26.3

Mumps pancreatitis

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D13.6

Benign neoplasm of pancreas

    2016 2017 2018 2019 2020 Billable/Specific Code
Type 1 Excludes
  • benign neoplasm of endocrine pancreas (D13.7)
ICD-10-CM K85.00

Idiopathic acute pancreatitis without necrosis or infection

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.01

Idiopathic acute pancreatitis with uninfected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.02

Idiopathic acute pancreatitis with infected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.10

Biliary acute pancreatitis without necrosis or infection

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.11

Biliary acute pancreatitis with uninfected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.12

Biliary acute pancreatitis with infected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.20

Alcohol induced acute pancreatitis without necrosis or infection

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.21

Alcohol induced acute pancreatitis with uninfected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.22

Alcohol induced acute pancreatitis with infected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.30

Drug induced acute pancreatitis without necrosis or infection

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.31

Drug induced acute pancreatitis with uninfected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.32

Drug induced acute pancreatitis with infected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.80

Other acute pancreatitis without necrosis or infection

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.81

Other acute pancreatitis with uninfected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.82

Other acute pancreatitis with infected necrosis

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.90

Acute pancreatitis without necrosis or infection, unspecified

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.91

Acute pancreatitis with uninfected necrosis, unspecified

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K85.92

Acute pancreatitis with infected necrosis, unspecified

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K86.0

Alcohol-induced chronic pancreatitis

    2016 2017 2018 2019 2020 Billable/Specific Code
Code Also
  • exocrine pancreatic insufficiency (K86.81)
Type 2 Excludes
  • alcohol induced acute pancreatitis (K85.2-)
Use Additional
  • code to identify:
  • alcohol abuse and dependence (F10.-)
ICD-10-CM K86.1

Other chronic pancreatitis

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Chronic pancreatitis NOS
  • Infectious chronic pancreatitis
  • Recurrent chronic pancreatitis
  • Relapsing chronic pancreatitis
Code Also
  • exocrine pancreatic insufficiency (K86.81)
ICD-10-CM K86.2

Cyst of pancreas

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM K86.3

Pseudocyst of pancreas

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM K86.81

Exocrine pancreatic insufficiency

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM K86.89

Other specified diseases of pancreas

    2017 - New Code 2018 2019 2020 Billable/Specific Code
Applicable To
  • 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
ICD-10-CM K86.9

Disease of pancreas, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM Q45.0

Agenesis, aplasia and hypoplasia of pancreas

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
Applicable To
  • Congenital absence of pancreas
ICD-10-CM Q45.1

Annular pancreas

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
ICD-10-CM Q45.2

Congenital pancreatic cyst

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
ICD-10-CM Q45.3

Other congenital malformations of pancreas and pancreatic duct

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
Applicable To
  • Accessory pancreas
  • Congenital malformation of pancreas or pancreatic duct NOS
Type 1 Excludes
  • congenital diabetes mellitus (E10.-)
  • cystic fibrosis (E84.0-E84.9)
  • fibrocystic disease of pancreas (E84.-)
  • neonatal diabetes mellitus (P70.2)
ICD-10-CM S36.200A

Unspecified injury of head of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.201A

Unspecified injury of body of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.202A

Unspecified injury of tail of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.209A

Unspecified injury of unspecified part of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.220A

Contusion of head of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.221A

Contusion of body of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.222A

Contusion of tail of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.229A

Contusion of unspecified part of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.230A

Laceration of head of pancreas, unspecified degree, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.231A

Laceration of body of pancreas, unspecified degree, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.232A

Laceration of tail of pancreas, unspecified degree, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.239A

Laceration of unspecified part of pancreas, unspecified degree, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.240A

Minor laceration of head of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.241A

Minor laceration of body of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.242A

Minor laceration of tail of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.249A

Minor laceration of unspecified part of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.250A

Moderate laceration of head of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.251A

Moderate laceration of body of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.252A

Moderate laceration of tail of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.259A

Moderate laceration of unspecified part of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.260A

Major laceration of head of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.261A

Major laceration of body of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.262A

Major laceration of tail of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.269A

Major laceration of unspecified part of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.290A

Other injury of head of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.291A

Other injury of body of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.292A

Other injury of tail of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM S36.299A

Other injury of unspecified part of pancreas, initial encounter

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM T86.890

Other transplanted tissue rejection

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM T86.891

Other transplanted tissue failure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM T86.892

Other transplanted tissue infection

    2016 2017 2018 2019 2020 Billable/Specific Code
Use Additional
  • code to specify infection
ICD-10-CM T86.898

Other complications of other transplanted tissue

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM T86.899

Unspecified complication of other transplanted tissue

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM Z94.83

Pancreas transplant status

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt