ICD Code K86.81

ICD code K86.81 is exocrine pancreatic insufficiency, a condition where the pancreas does not produce enough digestive enzymes, leading to problems with digesting food.

1. Presence of chronic diarrhea with bulky, foul-smelling, or greasy stools (steatorrhea)

2. Evidence of weight loss or failure to thrive not explained by other causes

3. Laboratory findings of decreased fecal elastase or low levels of pancreatic enzymes in stool

4. Symptoms of malabsorption, such as deficiencies in fat-soluble vitamins (A, D, E, K)

5. History of underlying pancreatic disease (e.g., chronic pancreatitis, cystic fibrosis, pancreatic resection)

6. Exclusion of other causes of malabsorption (e.g., celiac disease, small intestinal bacterial overgrowth)

7. Improvement of symptoms with pancreatic enzyme replacement therapy

Relevant CPT codes that may be used to treat ICD code K86.81 include:

- 82136 (Amylase; serum)

- 82607 (Vitamin B12; cyanocobalamin)

- 82746 (Folate; serum)

- 82947 (Glucose; quantitative, blood)

- 83735 (Magnesium; blood)

- 83986 (pH; body fluid, not otherwise specified)

- 84153 (Prostate specific antigen; total)

- 84436 (Thyroxine; total)

- 84439 (Thyroid stimulating hormone)

- 84443 (Thyroid stimulating hormone; TSH)

- 86334 (Immunoassay for tumor antigen, quantitative; CA 19-9)

- 87507 (Infectious agent detection by nucleic acid, gastrointestinal pathogen panel)

- 91065 (Gastric motility study)

- 91132 (Gastric emptying study, imaging)

- 91299 (Unlisted diagnostic gastroenterology procedure)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 96401 (Chemotherapy administration, subcutaneous or intramuscular)

- 96402 (Chemotherapy administration, intravenous, push technique)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis)

- 96374 (Therapeutic, prophylactic, or diagnostic injection, intravenous push)

- 99401 (Preventive medicine counseling, individual, approximately 15 minutes)

CPT code selection should be based on the specific services rendered and clinical documentation.

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