ICD-10 Coding for Acute on Chronic Cholecystitis(K81.2, K80.0-)
Complete ICD-10-CM coding and documentation guide for Acute on Chronic Cholecystitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute on Chronic Cholecystitis
K80-K81Primary Range
Diseases of gallbladder and biliary tract
This range includes codes for cholecystitis and gallbladder diseases, relevant for coding acute on chronic 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 |
|---|---|---|---|
| K81.2 | Acute cholecystitis with chronic cholecystitis | Use when acute and chronic cholecystitis are documented without the presence of stones. |
|
| K80.0- | Calculus of gallbladder with acute cholecystitis | Use when stones are present with acute cholecystitis. |
|
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 on chronic cholecystitis
Essential facts and insights about Acute on Chronic Cholecystitis
Primary ICD-10-CM Codes for acute on chronic cholecystitis
Decision Criteria
clinical Criteria
- Presence of acute and chronic inflammation without stones
coding Criteria
- Use K81.2 only when no stones are present
Applicable To
- Acute exacerbation of chronic cholecystitis
Excludes
- Cholelithiasis with acute cholecystitis (K80.0-)
Clinical Validation Requirements
- Documentation of acute and chronic inflammation
- Imaging showing gallbladder wall thickening and no stones
Code-Specific Risks
- Incorrectly coding when stones are present
Coding Notes
- Ensure documentation specifies 'acute on chronic' and confirms absence of stones.
K80.0- - Calculus of gallbladder with acute cholecystitis
Use when stones are present with acute cholecystitis.
Applicable To
- Gallstones with acute cholecystitis
Excludes
- Acute cholecystitis without stones (K81.0)
Clinical Validation Requirements
- Imaging confirming presence of gallstones
- Documentation of acute inflammation
Coding Notes
Do not code chronic cholecystitis separately when stones are present.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute on Chronic Cholecystitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K81.2.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Potential audit risk., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Review imaging and documentation carefully, Ensure correct code selection based on presence of stones
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use K80.0- instead when stones are present.
Impact
Coding K81.2 instead of K80.0- when stones are present.
Mitigation Strategy
Ensure thorough review of imaging and documentation.
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 on Chronic Cholecystitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute on Chronic Cholecystitis
Use these documentation templates to ensure complete and accurate documentation for Acute on Chronic Cholecystitis. These templates include all required elements for proper coding and billing.
Acute on chronic cholecystitis without stones
Specialty: SurgeryRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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