K85.21

Alcohol induced acute pancreatitis with uninfected necrosis

FY2027Chapter 11: Diseases of the digestive system/K80–K87 Disorders of gallbladder, biliary tract and pancreas

BillableComplete code, valid to report

K85.21 (also written K8521) is a billable ICD-10-CM diagnosis code for alcohol induced acute pancreatitis with uninfected necrosis. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 18 codes in category K85 (Acute pancreatitis). The Alphabetic Index lists it under 1 entry. Its coding notes include 9 Excludes2 entries.

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from K85.2 Alcohol induced acute pancreatitis
  • alcohol induced chronic pancreatitis (K86.0)
Also from chapter/block level (8 notes)
Inherited from Chapter 11 Diseases of the digestive system
  • 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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital MCC

Counts as a major complication or comorbidity (MCC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 24 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Includes

Further defines or gives examples of the content of the category.

Inherited from K85 Acute pancreatitis
  • acute (recurrent) pancreatitis
  • subacute pancreatitis

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry