ICD-10 Coding for Gallbladder Stones without Inflammation or Obstruction(K80.20)
Complete ICD-10-CM coding and documentation guide for Gallbladder Stones without Inflammation or Obstruction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gallbladder Stones without Inflammation or Obstruction
K80-K87Primary Range
Disorders of gallbladder, biliary tract, and pancreas
This range includes all codes related to gallbladder and biliary tract disorders, including gallstones.
Key Information: ICD-10 code for gallstones without cholecystitis
Essential facts and insights about Gallbladder Stones without Inflammation or Obstruction
Primary ICD-10-CM Code for calculus of gallbladder without cholecystitis without obstruction
Decision Criteria
clinical Criteria
- Gallstones present without inflammation or obstruction
documentation Criteria
- Ultrasound findings and normal LFTs
Applicable To
- Gallstones without inflammation
- Non-obstructive cholelithiasis
Clinical Validation Requirements
- Ultrasound shows gallstones with gallbladder wall thickness ≤3mm
- No pericholecystic fluid or duct dilation
- Normal liver function tests
Code-Specific Risks
- Misclassification if inflammation or obstruction is present
- Incorrect billing if symptoms are not documented
Coding Notes
- Ensure documentation clearly states the absence of inflammation and obstruction.
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 Gallbladder Stones without Inflammation or Obstruction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.20.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Could result in audit findings for insufficient documentation., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Ensure documentation specifies absence of inflammation., Use templates to guide thorough documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Misclassification can result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data and patient records.
Mitigation Strategy
Confirm stone location and absence of obstruction through imaging before coding.
Impact
Risk of audit if documentation does not clearly state absence of inflammation or obstruction.
Mitigation Strategy
Use standardized templates and checklists to ensure complete 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 Gallbladder Stones without Inflammation or Obstruction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gallbladder Stones without Inflammation or Obstruction
Use these documentation templates to ensure complete and accurate documentation for Gallbladder Stones without Inflammation or Obstruction. These templates include all required elements for proper coding and billing.
Ultrasound diagnosis of gallstones
Specialty: RadiologyRequired Elements
- Gallbladder wall thickness
- Presence of stones
- Duct dilation
- Pericholecystic fluid
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Gallbladder Stones without Inflammation or Obstruction? Ask your questions below.