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ICD-10 Coding for Common Bile Duct Dilation(K83.8, 0F798DZ)

Complete ICD-10-CM coding and documentation guide for Common Bile Duct Dilation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CBD DilationBiliary Duct Enlargement

Related ICD-10 Code Ranges

Complete code families applicable to Common Bile Duct Dilation

K80-K87Primary Range

Diseases of the gallbladder, biliary tract and pancreas

This range includes conditions affecting the biliary tract, including common bile duct dilation.

ICD-10-PCS codes for procedures on the biliary tract

This range includes procedural codes for interventions such as dilation of the common bile duct.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K83.8Other specified diseases of biliary tractUse when there is documented dilation of the common bile duct without a specified cause.
  • CBD diameter ≥8mm on imaging
  • Persistent symptoms such as RUQ pain or jaundice
0F798DZDilation of common bile duct with intraluminal device, via natural or artificial opening endoscopicUse for endoscopic procedures involving dilation of the CBD with a device.
  • Procedure note detailing device and approach

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 common bile duct dilation

Essential facts and insights about Common Bile Duct Dilation

The ICD-10 code for common bile duct dilation is K83.8, used for acquired dilation without a specified cause.

Primary ICD-10-CM Codes for common bile duct dilation

Other specified diseases of biliary tract
Billable Code

Decision Criteria

clinical Criteria

  • Imaging shows CBD dilation ≥8mm

documentation Criteria

  • Persistent symptoms and no other identifiable cause

Applicable To

  • Acquired common bile duct dilation

Excludes

  • Congenital biliary atresia (Q44.2)

Clinical Validation Requirements

  • CBD diameter ≥8mm on imaging
  • Persistent symptoms such as RUQ pain or jaundice

Code-Specific Risks

  • Ensure differentiation from congenital conditions.

Coding Notes

  • Ensure imaging studies confirm the dilation and rule out other causes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Choledocholithiasis

K80.5
Use when stones are present in the common bile duct causing dilation.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Obstruction of bile duct

K83.1
Use K83.1 if there is evidence of obstruction causing the dilation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Common Bile Duct Dilation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K83.8.

Impact

Clinical: Inaccurate procedure documentation, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Use standardized procedure templates, Verify documentation completeness

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Ensure imaging studies confirm dilation before coding.

Impact

Incomplete documentation of biliary procedures

Mitigation Strategy

Implement checklist for procedure notes

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 Common Bile Duct Dilation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Common Bile Duct Dilation

Use these documentation templates to ensure complete and accurate documentation for Common Bile Duct Dilation. These templates include all required elements for proper coding and billing.

Endoscopic CBD Dilation

Specialty: Gastroenterology

Required Elements

  • Procedure details
  • Device used
  • Imaging findings

Example Documentation

CBD dilation performed using an 8mm balloon and stent placement.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Performed CBD dilation.
Good Documentation Example
Performed CBD dilation using an 8mm balloon and placed a stent.
Explanation
The good example specifies the device and method used, which is necessary for accurate coding.

Need help with ICD-10 coding for Common Bile Duct Dilation? Ask your questions below.

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