K85.10Biliary acute pancreatitis without necrosis or infection

K85.10 is the ICD-10-CM diagnosis code for biliary acute pancreatitis without necrosis or infection. It belongs to category K85 (acute pancreatitis), block K80-K87 (disorders of gallbladder, biliary tract and pancreas) and chapter 11 (diseases of the digestive system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within K85.1, choose K85.10 (without necrosis or infection) only when documentation doesn't support a more specific option: with uninfected necrosis (K85.11) and with infected necrosis (K85.12).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 438 (Disorders of Pancreas Except Malignancy with MCC, relative weight 1.5765), DRG 439 (Disorders of Pancreas Except Malignancy with CC, relative weight 0.8402), DRG 440 (Disorders of Pancreas Except Malignancy without CC/MCC, relative weight 0.5965), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 07 (Diseases and Disorders of the Hepatobiliary System and Pancreas) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2017, effective October 1, 2016.

Before ICD-10, this condition was coded in ICD-9-CM as 577.0 (acute pancreatitis).