ICD-10 Coding for Choledocholithiasis with Cholecystitis(K80.64, K80.51)
Complete ICD-10-CM coding and documentation guide for Choledocholithiasis with Cholecystitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Choledocholithiasis with Cholecystitis
K80-K87Primary Range
Disorders of gallbladder, biliary tract, and pancreas
This range includes codes for gallbladder and bile duct conditions, including choledocholithiasis and 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 |
|---|---|---|---|
| K80.64 | Chronic cholecystitis with choledocholithiasis | Use when chronic cholecystitis is documented with choledocholithiasis. |
|
| K80.51 | Choledocholithiasis with obstruction | Use when choledocholithiasis is causing 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 choledocholithiasis with cholecystitis
Essential facts and insights about Choledocholithiasis with Cholecystitis
Primary ICD-10-CM Codes for choledocholithiasis with cholecystitis
Decision Criteria
clinical Criteria
- Chronic inflammation and stones confirmed by imaging
Applicable To
- Chronic gallbladder inflammation with bile duct stones
Excludes
- Acute cholecystitis with choledocholithiasis (K80.61)
Clinical Validation Requirements
- Chronic gallbladder inflammation confirmed by imaging
- Presence of bile duct stones
Code-Specific Risks
- Ensure chronicity is documented to avoid miscoding as acute.
Coding Notes
- Ensure documentation specifies chronicity and presence of stones.
K80.51 - Choledocholithiasis with obstruction
Use when choledocholithiasis is causing obstruction.
Applicable To
- Bile duct stones causing obstruction
Excludes
- Choledocholithiasis without obstruction (K80.50)
Clinical Validation Requirements
- Imaging showing bile duct stones with obstruction
- Elevated bilirubin levels
Coding Notes
Document obstruction clearly to support code selection.
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 Choledocholithiasis with Cholecystitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.64.
Impact
Clinical: Leads to misdiagnosis and treatment delays., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'acute' or 'chronic'., Confirm with imaging.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use K80.51 if imaging shows CBD dilation.
Impact
Failure to document obstruction can lead to audit findings.
Mitigation Strategy
Ensure imaging and lab results are included in the 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 Choledocholithiasis with Cholecystitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Choledocholithiasis with Cholecystitis
Use these documentation templates to ensure complete and accurate documentation for Choledocholithiasis with Cholecystitis. These templates include all required elements for proper coding and billing.
Acute presentation in ED
Specialty: Emergency MedicineRequired Elements
- Symptoms
- Imaging results
- Lab findings
- Assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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