Biliary acute pancreatitis with infected necrosis
ICD-10 K85.12 is a billable code used to indicate a diagnosis of biliary acute pancreatitis with infected necrosis.
Biliary acute pancreatitis with infected necrosis is a severe form of pancreatitis characterized by inflammation of the pancreas due to obstruction of the bile duct, often caused by gallstones. Clinically, patients may present with severe abdominal pain, nausea, vomiting, and fever. The anatomy involved includes the pancreas, bile ducts, and surrounding structures. Disease progression can lead to necrosis of pancreatic tissue, which may become infected, resulting in systemic complications such as sepsis. Diagnostic considerations include imaging studies like ultrasound or CT scans to identify gallstones and assess the extent of necrosis. Laboratory tests may reveal elevated serum amylase and lipase levels, along with signs of infection. Early recognition and management are crucial to prevent further complications, including organ failure.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K85.12 specifically covers cases of biliary acute pancreatitis that are complicated by infected necrosis. This includes patients with gallstone-induced pancreatitis who develop necrotic tissue that becomes infected, leading to further complications.
K85.12 should be used when there is clear evidence of infected necrosis in the context of biliary acute pancreatitis. If the pancreatitis is not associated with necrosis or infection, other codes such as K85.10 or K85.11 should be considered.
Documentation should include clinical findings of biliary obstruction, imaging results showing necrosis, laboratory results indicating infection, and a comprehensive treatment plan that addresses the severity of the condition.
