ICD-10 · PDGM grouping
K85 Acute pancreatitis
All 18 codes in the K85 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
18
Can lead a claim
18
Cannot lead a claim
0
What CMS assigns to K85
All 18 codes group to MMTA - Gastrointestinal tract and Genitourinary system (15) and MMTA - Other (3). All 18 count toward the Pancreatitis, Cholelithiasis and Cholecystitis comorbidity subgroup. Every code can lead a claim.
- Pancreatitis, Cholelithiasis and Cholecystitis
Every code in K85
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| K85.0 Idiopathic acute pancreatitis | ||||
| K85.00 | Idiopathic acute pancreatitis without necrosis or infection | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.01 | Idiopathic acute pancreatitis with uninfected necrosis | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.02 | Idiopathic acute pancreatitis with infected necrosis | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.1 Biliary acute pancreatitis | ||||
| K85.10 | Biliary acute pancreatitis without necrosis or infection | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.11 | Biliary acute pancreatitis with uninfected necrosis | Can lead a claim | A | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.12 | Biliary acute pancreatitis with infected necrosis | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.2 Alcohol induced acute pancreatitis | ||||
| K85.20 | Alcohol induced acute pancreatitis without necrosis or infectionCMS: Alcohol induced acute pancreatitis without necrosis or infct | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.21 | Alcohol induced acute pancreatitis with uninfected necrosis | Can lead a claim | A | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.22 | Alcohol induced acute pancreatitis with infected necrosis | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.3 Drug induced acute pancreatitis | ||||
| K85.30 | Drug induced acute pancreatitis without necrosis or infectionCMS: Drug induced acute pancreatitis without necrosis or infct | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.31 | Drug induced acute pancreatitis with uninfected necrosis | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.32 | Drug induced acute pancreatitis with infected necrosis | Can lead a claim | A | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.8 Other acute pancreatitis | ||||
| K85.80 | Other acute pancreatitis without necrosis or infection | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.81 | Other acute pancreatitis with uninfected necrosis | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.82 | Other acute pancreatitis with infected necrosis | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.9 Acute pancreatitis, unspecified | ||||
| K85.90 | Acute pancreatitis without necrosis or infection, unspecifiedCMS: Acute pancreatitis without necrosis or infection, unsp | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.91 | Acute pancreatitis with uninfected necrosis, unspecified | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
| K85.92 | Acute pancreatitis with infected necrosis, unspecified | Can lead a claim | J | Pancreatitis, Cholelithiasis and Cholecystitis |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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