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CMS Transmittals




ICD-10 Code or Description Search:

K85.11 Quick jump to specific ICD-10 (CM) Code: K85.20


See Category: Diseases of the digestive system

See Header: Biliary acute pancreatitis

ICD-10 (CM) Code and Descriptor

K85.12 Biliary acute pancreatitis with infected necrosis

K8512 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 12
53.57% 18.75% 5.36% 6.25% 2.68% 6.25% 0.89% 1.79% 1.79% 0.89%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for K85.12*:

CPT
Description Number of Claims Sum Performed
80053
COMPREHEN METABOLIC PANEL 28 28
85025
COMPLETE CBC W/AUTO DIFF WBC 23 23
83690
ASSAY OF LIPASE 18 18
36415
COLL VENOUS BLD VENIPUNCTURE 17 17
G0463
HOSPITAL OUTPT CLINIC VISIT 15 15
83735
ASSAY OF MAGNESIUM 12 12
Q9967
LOCM 300-399MG/ML IODINE,1ML 12 1,220
74177
CT ABD & PELVIS W/CONTRAST 10 10
97530
THERAPEUTIC ACTIVITIES 9 19
84100
ASSAY OF PHOSPHORUS 8 8
86140
C-REACTIVE PROTEIN 8 8
97024
DIATHERMY EG MICROWAVE 7 7
84134
ASSAY OF PREALBUMIN 7 7
84478
ASSAY OF TRIGLYCERIDES 6 6
J2405
ONDANSETRON HCL INJECTION 5 28
J3010
FENTANYL CITRATE INJECTION 4 7
Q3014
TELEHEALTH FACILITY FEE 4 4
G1004
CDSM NDSC 4 5
82306
VITAMIN D 25 HYDROXY 4 4
85610
PROTHROMBIN TIME 4 4

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



K85.12 related to the following DRG Codes:

438-440
791
793






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