ICD-10 Coding for Cholelithiasis Without Cholecystitis(K80.20)
Complete ICD-10-CM coding and documentation guide for Cholelithiasis Without Cholecystitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cholelithiasis Without Cholecystitis
K80-K87Primary Range
Diseases of gallbladder, biliary tract, and pancreas
This range includes all gallbladder and biliary tract diseases, with K80.20 specifically for cholelithiasis without cholecystitis.
Key Information: ICD-10 code for cholelithiasis without cholecystitis
Essential facts and insights about Cholelithiasis Without Cholecystitis
Primary ICD-10-CM Code for cholelithiasis without cholecystitis
Decision Criteria
clinical Criteria
- Ultrasound shows gallstones without wall thickening
documentation Criteria
- Document normal lab values and absence of fever
Applicable To
- Gallstones without inflammation or obstruction
Clinical Validation Requirements
- Ultrasound confirmation of gallstones without wall thickening or pericholecystic fluid
- Normal white blood cell count and liver function tests
Code-Specific Risks
- Misclassification if imaging does not confirm absence of cholecystitis
Coding Notes
- Ensure documentation specifies absence of cholecystitis and obstruction.
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 Cholelithiasis Without Cholecystitis 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 discrepancies., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Always specify imaging findings in detail, Include lab results to rule out complications
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Misclassification can result in compliance issues during audits., Data Quality: Inaccurate data affects clinical decision-making and research.
Mitigation Strategy
Verify imaging and lab results to confirm absence of obstruction.
Impact
Risk of coding gallstones with complications when none are present.
Mitigation Strategy
Ensure thorough documentation of imaging and lab 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 Cholelithiasis Without Cholecystitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cholelithiasis Without Cholecystitis
Use these documentation templates to ensure complete and accurate documentation for Cholelithiasis Without Cholecystitis. These templates include all required elements for proper coding and billing.
Emergency Department Evaluation
Specialty: Emergency MedicineRequired Elements
- Patient history
- Physical examination findings
- Laboratory results
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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