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

ICD-10 K87

Billable / Specific

Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

K87
Block
0
Synonyms
163
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM K87

ICD-10-CM code K87 represents Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere. This is a billable/specific code in the Digestive System chapter (block K87). The 2026 edition of ICD-10-CM K87 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with K87. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • cytomegaloviral pancreatitis (B25.2)
  • mumps pancreatitis (B26.3)
  • syphilitic gallbladder (A52.74)
  • syphilitic pancreas (A52.74)
  • tuberculosis of gallbladder (A18.83)
  • tuberculosis of pancreas (A18.83)

Coding Notes

Code First

  • underlying disease

Medicare LCD Coverage for K87

Local Coverage Determinations (LCDs) from CMS MACs that list K87 as a covered diagnosis.

163 LCDs

Showing top 10 of 163 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 K87.

10 policies

1 Cigna

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

5 Medicare

Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
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

CPT Codes Commonly Billed with K87

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

No procedure linkages on file for K87

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 K87 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
K87 5768 10000
K87 5778 10000

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

Codes Adjacent To K87

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

ICD-10 K87, Billing FAQ

Is ICD-10 code K87 billable? +

Yes, K87 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for K87? +

Type 1 Excludes (never code together with K87): cytomegaloviral pancreatitis (B25.2); mumps pancreatitis (B26.3); syphilitic gallbladder (A52.74)

What ICD-9 codes does K87 map to? +

Per CMS GEMs, K87 maps to ICD-9 codes: 5768, 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 June 1, 2026.

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