Z90.411 Acquired partial absence of pancreas

ICD10CM code

#### Name of the Condition
- Acquired Partial Absence of Pancreas
- **ICD-10 Code:** Z90.411

#### Summary
Acquired partial absence of the pancreas is a condition where parts of the pancreas are missing due to surgical removal or injury. The pancreas plays a crucial role in digestion and blood sugar regulation.

#### Causes
This condition commonly arises after surgical procedures such as pancreatectomy, which may be necessary for treating pancreatic diseases, tumors, or injuries.

#### Risk Factors
- Previous pancreatic surgery
- Pancreatic injury due to trauma
- Chronic pancreatitis

#### Symptoms
- Digestive problems such as difficulty processing fats
- Blood sugar imbalances
- Insufficient enzyme production leading to nutritional deficiencies

#### Diagnosis
- Medical history review focusing on past surgeries
- Imaging studies such as CT or MRI scans
- Blood tests to assess enzyme levels

#### Treatment Options
- Enzyme replacement therapy to aid digestion
- Monitoring and management of blood sugar levels to prevent diabetes
- Dietary adjustments to aid digestion and nutrition

#### Prognosis and Follow-Up
The outlook depends on the extent of pancreas removal and the individual's overall health. Regular follow-ups are critical to managing enzyme supplementation and blood sugar levels.

#### Complications
- Development of diabetes mellitus due to reduced insulin production
- Malnutrition from poor digestion and absorption of nutrients
- Increased risk of infection or digestive tract complications

#### Lifestyle & Prevention
- Adopting a balanced diet that accommodates reduced pancreatic function
- Regular exercise to help maintain healthy body weight and blood sugar levels
- Preventive measures include managing conditions like pancreatitis early to reduce surgical necessity

#### When to Seek Professional Help
- Persistent digestive issues such as pain, bloating, or abnormal stools
- Unexplained weight loss or nutritional deficiencies
- Symptoms of high or low blood sugar (e.g., fatigue, dizziness, excessive thirst or hunger)

#### Additional Resources
- American Pancreatic Association (APA) - [pancreas.org](https://pancreas.org)
- National Pancreas Foundation - [pancreasfoundation.org](https://pancreasfoundation.org)

#### Tips for Medical Coders
- Ensure documentation specifies that the absence of the pancreas is acquired rather than congenital.
- Verify surgical history or imaging studies to confirm partial absence coding.
- Be cautious of coding errors arising from unspecified pancreatic conditions.

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