ICD Code K86.9

ICD code K86.9 is disease of the pancreas, unspecified.

1. Presence of pancreatic disease symptoms such as abdominal pain, nausea, vomiting, or unexplained weight loss

2. Imaging studies (e.g., ultrasound, CT, MRI) indicating pancreatic abnormality without a definitive diagnosis

3. Laboratory findings suggestive of pancreatic dysfunction (e.g., abnormal amylase or lipase) without a specific etiology

4. Exclusion of other specific pancreatic diseases (e.g., acute or chronic pancreatitis, pancreatic neoplasm)

5. Clinical documentation indicating pancreatic disease, but lacking sufficient detail to assign a more specific diagnosis

Relevant CPT codes that may be used to treat ICD code K86.9 include:

- 43235: Esophagogastroduodenoscopy, diagnostic

- 43239: Esophagogastroduodenoscopy with biopsy

- 48100: Biopsy of pancreas

- 48120: Partial pancreatectomy, distal subtotal

- 48140: Pancreatectomy, total

- 48146: Pancreatectomy, distal subtotal with splenectomy

- 48150: Pancreatectomy, proximal subtotal with total duodenectomy

- 48152: Pancreatectomy, proximal subtotal with duodenectomy and splenectomy

- 48153: Pancreatectomy, proximal subtotal with duodenectomy, splenectomy, and resection of a segment of colon

- 48154: Pancreatectomy, proximal subtotal with duodenectomy, splenectomy, and total gastrectomy

- 47562: Laparoscopic cholecystectomy (if biliary involvement)

- 96372: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug)

- 96365: Intravenous infusion, for therapy, prophylaxis, or diagnosis (initial, up to 1 hour)

- 99201–99499: Evaluation and management services

CPT code selection should be based on the specific services rendered for K86.9.

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