ICD-10 K86
Non-Billable HeaderOther diseases of pancreas
About ICD-10-CM K86
ICD-10-CM code K86 represents Other diseases of pancreas. This is a non-billable header code in the Digestive System chapter (block K86). The 2026 edition of ICD-10-CM K86 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of K86, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- fibrocystic disease of pancreas (E84.-)
- islet cell tumor (of pancreas) (D13.7)
- pancreatic steatorrhea (K90.3)
Medicare LCD Coverage for K86
Local Coverage Determinations (LCDs) from CMS MACs that list K86 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K86.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but K86 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with K86
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To K86
Other codes in section K80-K87 (Disorders of gallbladder, biliary tract and pancreas).
ICD-10 K86, Billing FAQ
Is ICD-10 code K86 billable? +
No, K86 is a non-billable header code. Use a more specific child code from block K86 when submitting claims.
What codes are Type 2 Excludes for K86? +
Type 2 Excludes (may be coded together when both conditions exist): fibrocystic disease of pancreas (E84.-); islet cell tumor (of pancreas) (D13.7); pancreatic steatorrhea (K90.3)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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