ICD-10 Coding for Acute Calculous Cholecystitis(K80.00, K80.01)
Complete ICD-10-CM coding and documentation guide for Acute Calculous Cholecystitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Calculous Cholecystitis
K80.0-K80.1Primary Range
Calculus of gallbladder with acute cholecystitis
This range includes codes for acute cholecystitis with and without obstruction.
Complications of gallbladder such as gangrene and perforation
These codes are used for complications associated with acute cholecystitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K80.00 | Calculus of gallbladder with acute cholecystitis without obstruction | Use when gallstones are present without evidence of obstruction. |
|
| K80.01 | Calculus of gallbladder with acute cholecystitis with obstruction | Use when gallstones cause obstruction. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acute calculous cholecystitis
Essential facts and insights about Acute Calculous Cholecystitis
Primary ICD-10-CM Codes for acute calculous cholecystitis
Decision Criteria
clinical Criteria
- Presence of gallstones without obstruction
Applicable To
- Acute cholecystitis with gallstones without obstruction
Excludes
- Cholecystitis without gallstones (K81.0)
Clinical Validation Requirements
- Ultrasound showing gallstones and gallbladder wall thickening
- Positive Murphy’s sign
Code-Specific Risks
- Misclassification if obstruction is present but not documented
Coding Notes
- Ensure documentation specifies the absence of obstruction.
K80.01 - Calculus of gallbladder with acute cholecystitis with obstruction
Use when gallstones cause obstruction.
Applicable To
- Acute cholecystitis with gallstones and obstruction
Excludes
- Cholecystitis without gallstones (K81.0)
Clinical Validation Requirements
- Imaging showing gallstone obstruction
- Elevated bilirubin levels
Coding Notes
Ensure obstruction is clearly documented in imaging findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Calculous Cholecystitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.00.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Thorough review of imaging reports, Clear documentation of clinical findings
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Ensure imaging confirms absence of obstruction before using K80.00.
Impact
Inadequate documentation can lead to audit findings.
Mitigation Strategy
Ensure all imaging and clinical findings are documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute Calculous Cholecystitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Calculous Cholecystitis
Use these documentation templates to ensure complete and accurate documentation for Acute Calculous Cholecystitis. These templates include all required elements for proper coding and billing.
Acute cholecystitis with gallstones
Specialty: General SurgeryRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Laboratory findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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