K86.89

Other specified diseases of pancreas

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

BillableComplete code, valid to report

K86.89 (also written K8689) is a billable ICD-10-CM diagnosis code for other specified diseases of pancreas. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 7 codes in category K86 (Other diseases of pancreas). The Alphabetic Index lists it under 33 entries. Its coding notes include 11 Excludes2 entries.

Excludes2

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

Inherited from K86 Other diseases of pancreas
  • fibrocystic disease of pancreas (E84.-)
  • islet cell tumor (of pancreas) (D13.7)
  • pancreatic steatorrhea (K90.3)
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 - Gastrointestinal tract and Genitourinary system clinical group.

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

Inclusion terms

Conditions classified to this code.

This code
  • 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

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 33 entries

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