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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K86.89

Billable / Specific

Other specified diseases of pancreas

K86
Block
8
Synonyms
154
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM K86.89

ICD-10-CM code K86.89 represents Other specified diseases of pancreas. This is a billable/specific code in the Digestive System chapter (block K86). The 2026 edition of ICD-10-CM K86.89 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K86.89. Per CMS ICD-10-CM Tabular 2026.

  • 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

Medicare LCD Coverage for K86.89

Local Coverage Determinations (LCDs) from CMS MACs that list K86.89 as a covered diagnosis.

154 LCDs

Showing top 10 of 154 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K86.89.

10 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Policy ID: ART-56841
Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Policy ID: ART-57414

CPT Codes Commonly Billed with K86.89

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for K86.89

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.

Convert K86.89 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
K86.89 5778 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To K86.89

Other codes in section K80-K87 (Disorders of gallbladder, biliary tract and pancreas).

ICD-10 K86.89, Billing FAQ

Is ICD-10 code K86.89 billable? +

Yes, K86.89 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to K86.89? +

ICD-10 K86.89 includes: Aseptic pancreatic necrosis, unrelated to acute pancreatitis; Atrophy of pancreas; Calculus of pancreas, and 5 more clinical synonyms.

What ICD-9 codes does K86.89 map to? +

Per CMS GEMs, K86.89 maps to ICD-9 codes: 5778. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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