What is the ICD 10 Code for Pancreatitis?

Touseef Riaz

July 4, 2023

icd 10 code for pancreatitis

Pancreatitis is a severe medical condition that causes inflammation of the pancreas, a gland behind the stomach. It can occur suddenly (acute) or over time (chronic). There are numerous causes of pancreatitis. It includes alcohol abuse, gallstones, high levels of triglycerides in the blood, and certain medications. The symptoms of pancreatitis can range from mild to severe and may include abdominal pain, nausea, vomiting, fever, and rapid heartbeat.

icd 10 code for pancreatitis

One of the ways that healthcare professionals identify and classify medical conditions is through the use of medical codes. The International Classification of Diseases, Tenth Revision (ICD-10). It is a coding system healthcare providers use to classify and code diagnoses, symptoms, and medical procedures.

The ICD-10 code for pancreatitis depends on several factors, including the type of pancreatitis, the severity of the condition, and any underlying causes or complications. Here are some of the most common ICD-10 codes associated with pancreatitis:

K85.0 – Acute pancreatitis

K85.1 – Chronic pancreatitis

K85.2 – Drug-induced acute pancreatitis

K85.3 – Alcohol-induced acute pancreatitis

K85.8 – Another acute pancreatitis

K86.0 – Alcohol-induced chronic pancreatitis

K86.1 – Another chronic pancreatitis

K86.8 – Other specified diseases of the pancreas

Each of these codes has a specific definition and set of criteria. They must meet this criterion for the diagnosis to be assigned. For example, the code K85.0 is used to identify acute pancreatitis, characterized by a sudden inflammation of the pancreas. Doctors may specify this code to indicate the severity of the condition, such as mild, moderate, or severe.

It is important to note that the ICD-10 coding system is constantly evolving, with new codes being added and existing codes being updated or revised. Healthcare professionals must stay up-to-date with these changes to ensure accurate coding and billing for medical services.

What is the ICD-10 code for Chronic Pancreatitis? 

The ICD-10 code for chronic pancreatitis is K86.1. It falls under Diseases of the Digestive System (K00-K95) and specifically under the subcategory of Diseases of the Pancreas (K85-K86).

Chronic pancreatitis is a long-term inflammation of the pancreas that affects the normal functioning of the gland. Repeated episodes of acute pancreatitis or alcohol abuse usually cause it. The symptoms of chronic pancreatitis include abdominal pain, weight loss, diarrhea, and oily stools.

Assigning the correct ICD-10 code for chronic pancreatitis is essential for medical billing and coding. It ensures that the healthcare provider receives appropriate reimbursement for the services provided. However, medical billing and coding can be complex and time-consuming, and errors can result in claim denials and delayed payments.

Symptoms of Pancreatitis

The symptoms of pancreatitis can range from mild to severe, depending on the underlying cause and the extent of inflammation in the pancreas. Some common symptoms of pancreatitis include:

  • Severe pain in the upper abdomen
  • Nausea and vomiting
  • Fever
  • Rapid heartbeat
  • Jaundice (yellowing of the skin and eyes)
  • Weight loss
  • Diarrhea

If you experience any of these symptoms, it is essential to seek medical attention immediately, as pancreatitis can be a severe and potentially life-threatening condition.

Causes of Pancreatitis

Several factors can contribute to the development of pancreatitis, including:

Alcohol abuse: Drinking large amounts of alcohol can cause inflammation in the pancreas, leading to pancreatitis.

Gallstones are small, hard deposits that can form in the gallbladder and block the pancreatic duct, which can cause pancreatitis.

Medications: Certain medications, such as steroids, antibiotics, and chemotherapy drugs, can cause inflammation in the pancreas.

Infections: Infections, such as mumps, can cause inflammation in the pancreas.

In some cases, the cause of pancreatitis may be unknown.

ICD-10 Code for Pancreatitis

The ICD-10 code for pancreatitis is K85. This code is used to identify cases of acute or chronic pancreatitis. The K85 code is further broken down into subcategories based on the severity of the condition:

  • K85.0 – Acute pancreatitis
  • K85.1 – Chronic pancreatitis
  • K85.2 – Alcohol-induced acute pancreatitis
  • K85.3 – Drug-induced acute pancreatitis
  • K85.8 – Another acute pancreatitis
  • K85.9 – Acute pancreatitis, unspecified

It is essential for healthcare providers to accurately code cases of pancreatitis using the appropriate ICD-10 code, as they use this information for statistical purposes, reimbursement, and research.

Treatment for Pancreatitis

The treatment for pancreatitis depends on the underlying cause and the severity of the condition. Sometimes, hospitalization may be necessary to manage symptoms and prevent complications. Treatment options may include:

Fasting: Resting the pancreas by not eating or drinking for some time can help reduce inflammation.

Pain medication: Over-the-counter or prescription pain medication may be used to manage pain associated with pancreatitis. Intravenous (IV) fluids may be used to prevent dehydration and maintain electrolyte balance.

Surgery: In some cases, surgery may be necessary to remove blockages in the pancreatic duct or remove damaged tissue.

Lifestyle changes: Making changes to your diet, limiting alcohol intake, and quitting smoking. It can help prevent future episodes of pancreatitis. Working closely with your healthcare provider to develop a treatment plan appropriate to your needs is essential.

What is the ICD-10 code for Pancreatic Mass?

The ICD-10 code for pancreatic mass is C25.9. The International Statistical Classification of Diseases and Related Health Problems, or ICD-10, is in its tenth revision. It is a medical classification system that categorizes and codes diagnoses, symptoms, and procedures. The code C25.9 specifically represents “Malignant neoplasm of pancreas, unspecified.”

It is important to note that the ICD-10 code provides a general classification for a pancreatic mass. Still, additional regulations may be required to specify the exact nature, location, and characteristics of the group for a more accurate diagnosis. It is always best to consult a healthcare professional for specific medical coding requirements.

What is the ICD-10 code for Pancreatic Pseudocyst?

The ICD-10 code for pancreatic pseudocyst is K86.3. This code falls under the Diseases of the digestive system category and refers explicitly to “Other diseases of the pancreas.” Pancreatic pseudocysts are fluid-filled sacs that form in the pancreas, often as a complication of acute or chronic pancreatitis.

What is the ICD-10 code for Gallstone Pancreatitis?

The ICD-10 code for gallstone pancreatitis is K85.2. This code falls under the Diseases of the digestive system category and refers explicitly to “Acute pancreatitis.” Gallstone pancreatitis is a form of acute pancreatitis that occurs when a gallstone obstructs the pancreatic duct, leading to inflammation and damage to the pancreas.

What is the meaning of acute on Chronic Pancreatitis and ICD-10?

The ICD-10 code for acute on chronic pancreatitis is K86.1. This code falls under the Diseases of the digestive system category and refers explicitly to “Chronic pancreatitis.” Sharp, chronic pancreatitis occurs when a person with chronic pancreatitis experiences a sudden worsening of symptoms and inflammation. The condition is characterized by the presence of both acute and chronic symptoms of pancreatitis.

What is the ICD-10 code for a History of pancreatitis?

The ICD-10 code for a history of pancreatitis is Z86.81. This code belongs to the variables that affect one’s health state and contact with healthcare providers. It refers to a “Personal history of other digestive system diseases.” This code indicates that a patient has a history of pancreatitis but is not currently experiencing any symptoms or complications from the condition.

What is the ICD-10 code for Pancreatitis, unspecified?

The ICD-10 code for pancreatitis, unspecified, is K85.9. The Diseases of the digestive system category includes this code, which explicitly refers to “Acute pancreatitis, unspecified.”.

What is the ICD-10 code for Chronic Pancreatitis, unspecified?

The ICD-10 code for chronic pancreatitis, unspecified, is K86.0. This code falls under the Diseases of the digestive system category and refers explicitly to “Chronic pancreatitis, unspecified.” We used this code when a patient has been diagnosed with chronic pancreatitis. Still, the specific cause or type of chronic pancreatitis has not been determined or documented in the medical record.

What is ICD-10 code for Hypochlorhydria?

There is no specific ICD-10 code for hyperchlorhydria. However, hyperchlorhydria refers to excessive stomach acid secretion, which can cause digestive symptoms and may indicate an underlying medical condition such as gastritis or peptic ulcer disease. The ICD-10 codes for these conditions are K29.0 (acute gastritis), K29.1 (chronic gastritis), and K25.0 (gastric ulcer), for example. The appropriate code will depend on the specific diagnosis the healthcare provider makes based on the patient’s symptoms and diagnostic tests.

What is the ICD-10 code for Post-ERCP Pancreatitis?

The ICD-10 code for post-ERCP (endoscopic retrograde cholangiopancreatography) pancreatitis is K85.3. This code falls under the Diseases of the digestive system category and refers explicitly to “Other acute pancreatitis.” Post-ERCP pancreatitis is a specific type of acute pancreatitis. It occurs as a complication of the ERCP procedure. So, it is used to diagnose and treat conditions of the bile duct and pancreas.

What is the ICD-10 code for Chronic Pancreatitis?

The ICD-10 code for chronic pancreatitis is K86.1. This code falls under the Diseases of the digestive system category and refers explicitly to the condition “chronic pancreatitis.” Ongoing pancreatic inflammation is known as chronic pancreatitis. It causes irreversible damage to the organ. So this can lead to various symptoms, including abdominal pain, weight loss, and malabsorption.

What is the ICD-10 code for K85?

The ICD-10 code range of K85 is used to classify various types of acute pancreatitis. The ICD-10 code range of K85 classifies different types of acute pancreatitis, with K85.0 used for “Idiopathic acute pancreatitis,” K85.1 used for “Biliary acute pancreatitis,” K85.2 used for “Alcoholic acute pancreatitis,” K85.3 used for “Other acute pancreatitis,” and K85.8 used for “Acute pancreatitis, unspecified.”.

What is the ICD 10 code for Pancreatic Cancer?

The ICD-10 code for pancreatic cancer is C25.9. This code falls under the category of Neoplasms and refers explicitly to “Malignant neoplasm of pancreas, unspecified.” Pancreatic cancer is a type of cancer that develops in the cells of the pancreas and can spread to other parts of the body. The appropriate subcategory codes within C25 may be used further to specify the type and location of pancreatic cancer.

What is the ICD 10 code for Pancreatic Cysts?

The ICD-10 code for pancreatic cysts is K86.2. This code falls under the Diseases of the digestive system category and refers explicitly to the “Cyst of the pancreas.” A pancreatic cyst is a fluid-filled sac that develops in the pancreas and may be benign or malignant. The appropriate code within this category may be used further to specify the type and location of the pancreatic cyst.

What is the ICD 10 code for Pancreatic Insufficiency?

The ICD-10 code for pancreatic insufficiency is K86.81. This code falls under the Diseases of the digestive system category. It refers explicitly to “Exocrine pancreatic insufficiency.” When the pancreas does not produce enough digesting enzymes, it is called pancreatic insufficiency. It may result in nutritional malabsorption and other digestive issues. The code K86.81 indicates a diagnosis of exocrine pancreatic insufficiency, the most common type of pancreatic insufficiency, and refers to a lack of digestive enzymes.

Conclusion

The ICD-10 codes for pancreatitis are essential for accurate medical coding and billing. They classified acute pancreatitis under the K85 code range, with specific regulations for idiopathic, biliary, alcoholic, and other types of acute pancreatitis. They organize chronic pancreatitis under the K86.1 code. Post-ERCP pancreatitis has its specific code, K85.3. Other pancreatic conditions, such as pancreatic cysts and pancreatic insufficiency, have their ICD-10 codes as well. The use of these codes helps to streamline medical recordkeeping, facilitate research into pancreatitis, and ensure appropriate reimbursement for healthcare providers. Proper coding also helps to improve patient care and outcomes by providing accurate communication between healthcare providers and consistent tracking of patient health over time.

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