Skip to main content
Call AIBook a demo

ICD-10-CM K86.0: Alcohol-induced chronic pancreatitis

K86.0 is the billable ICD-10-CM code for alcohol-induced chronic pancreatitis, in category K86 (Other diseases of pancreas) of the Disorders of gallbladder, biliary tract and pancreas section. As a principal diagnosis it groups to MS-DRG 438 Disorders of Pancreas Except Malignancy with MCC, MS-DRG 439 Disorders of Pancreas Except Malignancy with CC, MS-DRG 440 Disorders of Pancreas Except Malignancy without CC/MCC (MDC 07 MDC 07: Diseases and Disorders of the Hepatobiliary System and Pancreas). It maps to HCC 79 (Chronic Pancreatitis) in CMS-HCC V28. As a secondary diagnosis it is a CC, excluded with 27 principal diagnoses. 12 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
K86.0
billable FY2027 ICD-10-CM code
Category
K86 Other diseases of pancreas
Chapter
11: Diseases of the digestive system (K00-K95)
CC/MCC (MS-DRG v44)
CC
CMS-HCC V28
HCC 79
POA reporting
Required

Tabular list notes for K86.0

The tabular list has no notes on K86.0 itself; the notes below apply from its parent headings.

Inherited from K86 (Other diseases of pancreas)

Excludes2 (not part of this condition, may be coded together)
  • fibrocystic disease of pancreas (E84.-)
  • islet cell tumor (of pancreas) (D13.7)
  • pancreatic steatorrhea (K90.3)

MS-DRG grouping when K86.0 is the principal diagnosis

MS-DRG v44 groups for K86.0 as principal diagnosis
MDCMS-DRGs
07 MDC 07: Diseases and Disorders of the Hepatobiliary System and Pancreas438439440

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for K86.0 shows the full grouping logic.

CC/MCC status and inpatient edits

As a secondary diagnosis, K86.0 is a CC under MS-DRG v44, unless the principal diagnosis is one of the 27 codes in its exclusion list. Check K86.0 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.

CMS-HCC V28 risk adjustment

In the PY2027 mapping, K86.0 maps to HCC 79 (Chronic Pancreatitis). The HCC lookup shows the RAF weight and the hierarchy.

LCD billing and coding articles that list K86.0

12 current Medicare billing and coding articles list K86.0 among the diagnoses that support medical necessity for the services they cover.

For teams evaluating QuickIntell software

Evaluate software for diagnosis coding review

If your team codes diagnoses at volume, review how QuickCode supports qualified coder review of documentation, specificity queries and the billing handoff. Confirm the code sets, settings and reviewer responsibilities during evaluation; a code reference is not a coding determination for a patient.

Evaluate QuickCode for diagnosis codingSee risk adjustment review
Book a software demoAsk about a software workflow

Optional software evaluation, not payer support or help with an individual claim. For coverage or payment decisions, use the official sources on this page. Do not include patient information in a demo booking or inquiry.

Frequently asked questions

What does ICD-10-CM K86.0 mean?

K86.0 means alcohol-induced chronic pancreatitis. It is one of 7 billable codes under K86, other diseases of pancreas.

Which MS-DRG does K86.0 group to?

As the principal diagnosis, K86.0 groups to MS-DRG 438 Disorders of Pancreas Except Malignancy with MCC, MS-DRG 439 Disorders of Pancreas Except Malignancy with CC, MS-DRG 440 Disorders of Pancreas Except Malignancy without CC/MCC (MDC 07 MDC 07: Diseases and Disorders of the Hepatobiliary System and Pancreas) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Does K86.0 map to an HCC?

Yes: HCC 79, Chronic Pancreatitis, in the PY2027 CMS-HCC V28 mapping.

Is K86.0 a CC or MCC?

K86.0 is a CC under MS-DRG v44; 27 principal diagnoses exclude it.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.