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v1.0.0
ICD-10 Guide
ICD-10 CodesK85.0

K85.0

Non-billable

Idiopathic acute pancreatitis

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K85.0 is a used to indicate a diagnosis of idiopathic acute pancreatitis.

Key Diagnostic Point:

Idiopathic acute pancreatitis is characterized by sudden inflammation of the pancreas without a known cause. Patients may present with severe abdominal pain, nausea, vomiting, and elevated pancreatic enzymes in the blood. Diagnosis is typically made through clinical evaluation and imaging studies such as CT scans. Management often involves hospitalization for supportive care, including pain management, hydration, and nutritional support. Identifying potential triggers is essential for preventing future episodes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • unknown etiology
  • potential for severe complications

Audit Risk Factors

    Specialty Focus

    Related ICD-10 Codes

    Related CPT Codes

    49002CPT Code

    Clinical Scenario

    Documentation Requirements

    ICD-10 Impact

    Diagnostic & Documentation Impact

    Enhanced Specificity

    ICD-10 Improvements

    Failure to manage acute pancreatitis can lead to serious complications, including necrosis and organ failure.

    ICD-9 vs ICD-10

    Failure to manage acute pancreatitis can lead to serious complications, including necrosis and organ failure.

    Reimbursement & Billing Impact

    reimbursement.

    Resources

    Clinical References

    • •
      Acute Pancreatitis Guidelines

    Coding & Billing References

    • •
      Acute Pancreatitis Guidelines

    Frequently Asked Questions

    What are the common causes of acute pancreatitis?

    Common causes include gallstones, alcohol use, and certain medications.

    How is idiopathic acute pancreatitis treated?

    Treatment typically involves supportive care and monitoring in a hospital setting.