Z90.411 — Acquired partial absence of pancreas
Is Z90.411 billable?
Yes — Z90.411 is billable for FY2027. Z90.411 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z90.411 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z90.411 at a glance
| Code | Z90.411 |
|---|---|
| Description | Acquired partial absence of pancreas |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z90.411?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z90.411 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does Z90.411 group to?
Z90.411 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is Z90.411 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z90.411. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Status › pancreatectomy › partial (post)
- Absence › pancreas › acquired › partial (of) (organ or part) (complete or partial)
Excludes1 — never code together — inherited from Z90
The conditions below can never be reported together with Z90.411 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- congenital absence - see Alphabetical Index
Use additional code — inherited from Z90.41
Report an additional code alongside Z90.411 to fully describe the condition. Z90.411 is sequenced first.
Excludes2 — not included here — inherited from Z90
The conditions below are not part of Z90.411, but a patient may have both at the same time. When documentation supports it, Z90.411 and the excluded code may both be reported.
- postprocedural absence of endocrine glands (E89.-)
Code also — inherited from Z77-Z99
Two codes may be needed to describe the condition fully. Whether Z90.411 is sequenced first depends on the reason for the encounter.
- any follow-up examination (Z08-Z09)
Code also — inherited from Z90.41
Two codes may be needed to describe the condition fully. Whether Z90.411 is sequenced first depends on the reason for the encounter.
- exocrine pancreatic insufficiency (K86.81)
How long has Z90.411 existed?
Z90.411 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.