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Home/Diagnosis/ICD-10 Coding for Exocrine Pancreatic Insufficiency

ICD-10 Coding for Exocrine Pancreatic Insufficiency

K86.81

Complete ICD-10-CM coding and documentation guide for icd-10 coding for exocrine pancreatic insufficiency includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
EPI
Pancreatic Insufficiency
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Key Information: ICD-10 Coding for Exocrine Pancreatic Insufficiency

Essential facts and insights about ICD-10 Coding for Exocrine Pancreatic Insufficiency

Use ICD-10 code K86.81 for exocrine pancreatic insufficiency, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Exocrine pancreatic insufficiency

Billable Code
K86.81
Billable

Diagnostic Criteria

clinical_criteria:
  • • Presence of steatorrhea and weight loss unresponsive to dietary changes.

Applicable To

  • • EPI due to chronic pancreatitis
  • • EPI due to cystic fibrosis

Important Notes

  • • Ensure to document the specific underlying condition causing EPI.
Ancillary Codes

Additional codes that may be used with this diagnosis

F10.-

Alcohol abuse/dependence

Use with K86.0 for alcohol-induced chronic pancreatitis.

Frequently Asked Questions

What is the ICD-10 code for exocrine pancreatic insufficiency?

The ICD-10 code for exocrine pancreatic insufficiency is K86.81, which is used when EPI is confirmed by clinical tests and documented symptoms.

How is exocrine pancreatic insufficiency documented?

Document EPI with specific symptoms like steatorrhea and weight loss, and confirm with tests such as fecal elastase-1 <200 µg/g stool.

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