Z90.410 Acquired total absence of pancreas

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• Acquired absence of pancreas NOS

Applies from Z90 Acquired absence of organs, not elsewhere classified

Includes

• postprocedural or post-traumatic loss of body part NEC

Excludes1 (never code together)

• congenital absence - see Alphabetical Index

Excludes2 (not included here)

• postprocedural absence of endocrine glands (E89.-)

Applies 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)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V88.11 Acquired total absence of pancreas

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z90.410

Back-references to Z90.41

• Use Additional: E89.1 Postprocedural hypoinsulinemia ("acquired absence of pancreas (Z90.41-)")

Back-references to Z90

• Type 2 Excludes: M95 Other acquired deformities of musculoskeletal system and connective tissue ("acquired absence of limbs and organs (Z89-Z90)")
• Use Additional: Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm ("code to identify any acquired absence of organs (Z90.-)")

Diagnosis Index entries for Z90.410

• Absence (of) (organ or part) (complete or partial) › pancreas (congenital) › acquired
• Absence (of) (organ or part) (complete or partial) › pancreas (congenital) › acquired › complete
• Absence (of) (organ or part) (complete or partial) › pancreas (congenital) › acquired › total
• Status (post) › pancreatectomy
• Status (post) › pancreatectomy › complete
• Status (post) › pancreatectomy › total

Nearby codes

• Z90.13 Acquired absence of bilateral breasts and nipples
• Z90.2 Acquired absence of lung [part of]
• Z90.3 Acquired absence of stomach [part of]
• Z90.4 Acquired absence of other specified parts of digestive tract
• Z90.41 Acquired absence of pancreas
• Z90.410 Acquired total absence of pancreas (this code)
• Z90.411 Acquired partial absence of pancreas
• Z90.49 Acquired absence of other specified parts of digestive tract
• Z90.5 Acquired absence of kidney
• Z90.6 Acquired absence of other parts of urinary tract
• Z90.7 Acquired absence of genital organ(s)