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Home/Diagnosis/ICD-10 Coding for Gallstone

ICD-10 Coding for Gallstone

K80.0
K80.10
K80.20

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gallstone includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Cholelithiasis
Gallstones
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Key Information: ICD-10 Coding for Gallstone

Essential facts and insights about ICD-10 Coding for Gallstone

Use ICD-10 code K80.0 for calculus of gallbladder with acute cholecystitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Calculus of gallbladder with acute cholecystitis

Non-Billable
K80.0
Non-Billable

Diagnostic Criteria

  • • Acute RUQ pain with elevated WBC and ultrasound findings

Applicable To

  • • Gallstones with acute inflammation

Important Notes

  • • Ensure documentation specifies acute inflammation.

Calculus of gallbladder with chronic cholecystitis

Billable Code
K80.10
Billable

Diagnostic Criteria

  • • Histology showing fibrosis
  • • Recurrent episodes

Applicable To

  • • Gallstones with chronic inflammation

Important Notes

  • • Documentation must specify chronic inflammation.

Calculus of gallbladder with acute and chronic cholecystitis

Billable Code
K80.20
Billable

Diagnostic Criteria

  • • Pathology report showing acute-on-chronic changes

Applicable To

  • • Gallstones with both acute and chronic inflammation

Important Notes

  • • Ensure both acute and chronic inflammation are documented.

Calculus of gallbladder with obstruction

Non-Billable
K80.3
Non-Billable

Diagnostic Criteria

  • • Dilated CBD >8mm
  • • Elevated ALP >125 U/L

Applicable To

  • • Gallstones causing obstruction

Important Notes

  • • Documentation must confirm obstruction.
Frequently Asked Questions

What is the ICD-10 code for gallstones with acute cholecystitis?

The ICD-10 code for gallstones with acute cholecystitis is K80.0. This code is used when acute inflammation is confirmed by clinical and imaging findings.

How do you code gallstones with chronic cholecystitis?

Use ICD-10 code K80.10 for gallstones with chronic cholecystitis, confirmed by histopathology showing fibrosis and recurrent episodes.

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