ICD-10 Coding for Cholecystitis with Cholelithiasis(K80.00, K80.01)
Complete ICD-10-CM coding and documentation guide for Cholecystitis with Cholelithiasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cholecystitis with Cholelithiasis
K80.00-K80.13Primary Range
Calculus of gallbladder with and without cholecystitis
This range includes codes for cholecystitis with cholelithiasis, specifying acute or chronic conditions and the presence of obstruction.
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 acute cholecystitis is confirmed with gallstones and no obstruction is present. |
|
| K80.01 | Calculus of gallbladder with acute cholecystitis with obstruction | Use when acute cholecystitis is confirmed with gallstones and obstruction is present. |
|
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 cholecystitis with cholelithiasis
Essential facts and insights about Cholecystitis with Cholelithiasis
Primary ICD-10-CM Codes for cholecystitis with cholelithiasis
Decision Criteria
clinical Criteria
- Presence of gallstones and acute inflammation 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
- Elevated white blood cell count
- Positive Murphy's sign
Code-Specific Risks
- Misclassification if obstruction is not ruled out
Coding Notes
- Ensure documentation specifies the absence of obstruction.
K80.01 - Calculus of gallbladder with acute cholecystitis with obstruction
Use when acute cholecystitis is confirmed with gallstones and obstruction is present.
Applicable To
- Acute cholecystitis with gallstones and obstruction
Excludes
- Cholecystitis without gallstones (K81.0)
Clinical Validation Requirements
- Imaging showing ductal obstruction
- Elevated white blood cell count
- Positive Murphy's sign
Coding Notes
Ensure documentation specifies the presence of obstruction.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Right upper quadrant pain
R10.11Differential 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 Cholecystitis with Cholelithiasis 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
Train staff on the importance of detailed documentation, Use checklists to ensure all necessary information is recorded
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in clinical data reporting.
Mitigation Strategy
Ensure documentation specifies the presence or absence of obstruction and the acute or chronic nature of the condition.
Impact
Failure to document obstruction status can lead to audit findings.
Mitigation Strategy
Implement documentation protocols that require explicit mention of obstruction.
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 Cholecystitis with Cholelithiasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cholecystitis with Cholelithiasis
Use these documentation templates to ensure complete and accurate documentation for Cholecystitis with Cholelithiasis. These templates include all required elements for proper coding and billing.
Acute cholecystitis with gallstones without obstruction
Specialty: General SurgeryRequired Elements
- Patient history
- 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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