ICD-10 Coding for Acutely Inflamed Gallbladder with Stones(K80.0)
Complete ICD-10-CM coding and documentation guide for Acutely Inflamed Gallbladder with Stones. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acutely Inflamed Gallbladder with Stones
K80-K87Primary Range
Diseases of gallbladder, biliary tract, and pancreas
This range includes codes for gallbladder diseases, including cholelithiasis and cholecystitis.
Key Information: ICD-10 code for acutely inflammed gallbladder with stones
Essential facts and insights about Acutely Inflamed Gallbladder with Stones
Primary ICD-10-CM Code for acutely inflammed gallbladder with stones
Decision Criteria
clinical Criteria
- Presence of gallstones with acute inflammation symptoms
documentation Criteria
- Explicit mention of 'acute cholecystitis' in medical records
Applicable To
- Gallstones with acute inflammation
- Acute calculous cholecystitis
Clinical Validation Requirements
- Imaging showing gallbladder wall thickening >4mm
- Presence of pericholecystic fluid
- Positive sonographic Murphy sign
Code-Specific Risks
- Incorrectly coding as K80.9 if acute inflammation is not specified
- Missing documentation of acute vs. chronic
Coding Notes
- Ensure documentation specifies 'acute' to avoid defaulting to unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Acutely Inflamed Gallbladder with Stones to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.0.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Educate clinicians on documentation standards, Use templates that prompt for specific details
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies 'acute' to use K80.0.
Impact
Risk of audits due to insufficient documentation supporting the acute diagnosis.
Mitigation Strategy
Ensure thorough documentation of clinical findings and imaging results.
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 Acutely Inflamed Gallbladder with Stones, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acutely Inflamed Gallbladder with Stones
Use these documentation templates to ensure complete and accurate documentation for Acutely Inflamed Gallbladder with Stones. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- Patient age and sex
- Duration and location of pain
- Associated symptoms (e.g., fever, nausea)
- Imaging results
- Laboratory findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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