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Home/Diagnosis/ICD-10 Coding for Symptomatic Cholelithiasis

ICD-10 Coding for Symptomatic Cholelithiasis

K80.20
K80.10
K80.61

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

Also Known as:
Gallstones with symptoms
Biliary colic
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Key Information: ICD-10 Coding for Symptomatic Cholelithiasis

Essential facts and insights about ICD-10 Coding for Symptomatic Cholelithiasis

Use ICD-10 code K80.20 for calculus of gallbladder without cholecystitis or obstruction, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Calculus of gallbladder without cholecystitis or obstruction

Billable Code
K80.20
Billable

Diagnostic Criteria

  • • Patient presents with symptomatic gallstones without signs of inflammation or obstruction.

Applicable To

  • • Symptomatic gallstones without inflammation

Important Notes

  • • Ensure documentation specifies absence of cholecystitis or obstruction.

Calculus of gallbladder with acute cholecystitis

Billable Code
K80.10
Billable

Diagnostic Criteria

  • • Use when gallstones are present with acute cholecystitis confirmed by clinical and imaging findings.

Applicable To

  • • Gallstones with acute inflammation

Important Notes

  • • Document acute symptoms and imaging findings clearly.

Calculus of bile duct with obstruction

Billable Code
K80.61
Billable

Diagnostic Criteria

  • • Use when gallstones cause bile duct obstruction confirmed by imaging.

Applicable To

  • • Gallstones causing bile duct obstruction

Important Notes

  • • Ensure obstruction is confirmed by imaging.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.11

Right upper quadrant pain

Use to specify pain location when no cholecystitis or obstruction is present.

R94.5

Abnormal liver function test

Use to document abnormal LFTs associated with obstruction.

Frequently Asked Questions

What is the ICD-10 code for symptomatic cholelithiasis?

The ICD-10 code for symptomatic cholelithiasis without cholecystitis or obstruction is K80.20. If acute cholecystitis is present, use K80.10.

How do you code gallstones with acute cholecystitis?

Use ICD-10 code K80.10 for gallstones with acute cholecystitis, confirmed by symptoms and imaging findings.

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