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ICD-10-CM 2027 diagnosis code

Z90.411Acquired partial absence of pancreas

✓ Billable / specificPOA exemptNot a principal dx

Z90.411 is a valid, billable ICD-10-CM code for acquired partial absence of pancreas. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z90.411

Z90.411 is the ICD-10-CM diagnosis code for acquired partial absence of pancreas. It belongs to category Z90 (acquired absence of organs, not elsewhere classified), block Z77-Z99 (persons with potential health hazards related to family and personal history and certain conditions influencing health status) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z90.41 (acquired absence of pancreas), Z90.411 is specifically for acquired partial absence of pancreas. Related codes cover total absence of pancreas (Z90.410).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), 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 is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V88.12 (acquired partial absence of pancreas).

Notes that apply from higher levels

Instructions written at a parent level also apply to Z90.411.

› From Z90.41 Acquired absence of pancreas
Use additional code
  • code to identify any associated:
  • diabetes mellitus, postpancreatectomy (E13.-)
  • insulin use (Z79.4)
Code also
  • exocrine pancreatic insufficiency (K86.81)
› From Z90 Acquired absence of organs, not elsewhere classified
Includes
  • postprocedural or post-traumatic loss of body part NEC
Excludes1
  • congenital absence - see Alphabetical Index
Excludes2
  • postprocedural absence of endocrine glands (E89.-)

Broader instructions also apply from Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status and Chapter 21: Factors influencing health status and contact with health services.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to Z90.411.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V88.12Acquired partial absence of pancreasexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z90.411

Is Z90.411 billable?

Yes. Z90.411 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z90.411 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z90.411 a CC or MCC?

No. Z90.411 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z90.411 group to?

Z90.411 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for Z90.411?

The CMS General Equivalence Mappings map Z90.411 to ICD-9-CM V88.12.