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K87 - Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

ICD-10-CM Chapter 11: Diseases of the digestive system · K80-K87 Disorders of gallbladder, biliary tract and pancreas (K80-K87) · Top-level category · FY2027

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom K87

Mutually exclusive: these conditions are never reported together with this code.

  • 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)
Code FirstFrom K87

Sequence the underlying condition before this code.

  • underlying disease
Excludes 2 — Not Included HereFrom Chapter K00-K95

Not part of this code; report both codes when the patient has both conditions.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Inpatient DRG Payments

DRG 44516,645 discharges

Disorders Of The Biliary Tract With Cc

Avg. Medicare Payment

$8,337

Total Payment$10,692
Patient Responsibility$2,355
Hospital Charge$58,184
DRG 44412,530 discharges

Disorders Of The Biliary Tract With Mcc

Avg. Medicare Payment

$13,234

Total Payment$16,233
Patient Responsibility$2,999
Hospital Charge$83,243
DRG 4465,020 discharges

Disorders Of The Biliary Tract Without Cc/mcc

Avg. Medicare Payment

$5,710

Total Payment$7,988
Patient Responsibility$2,278
Hospital Charge$45,756