ICD-10 Coding for Gallbladder Disorder(K80.10, K80.3, K82.A1)
Complete ICD-10-CM coding and documentation guide for Gallbladder Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gallbladder Disorder
K80-K82Primary Range
Diseases of gallbladder, biliary tract, and pancreas
This range includes codes for gallbladder disorders such as cholelithiasis 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 |
|---|---|---|---|
| K80.10 | Calculus of gallbladder with acute cholecystitis without obstruction | Use when acute cholecystitis is confirmed with gallstones present. |
|
| K80.3 | Calculus of bile duct with cholangitis | Use when stones are present in the bile duct causing obstruction. |
|
| K82.A1 | Gangrene of gallbladder | Use when gangrene is confirmed during surgery or pathology. |
|
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 gallbladder disorder
Essential facts and insights about Gallbladder Disorder
Primary ICD-10-CM Codes for gallbladder disorder
Decision Criteria
clinical Criteria
- Presence of gallstones and acute inflammation
Applicable To
- Acute cholecystitis with gallstones
Excludes
- Chronic cholecystitis (K81.1)
Clinical Validation Requirements
- RUQ pain
- Fever
- Ultrasound showing gallstones and wall thickening
Code-Specific Risks
- Incorrectly coding as separate conditions instead of using combination code.
Coding Notes
- Ensure documentation specifies 'acute' and confirms presence of gallstones.
K80.3 - Calculus of bile duct with cholangitis
Use when stones are present in the bile duct causing obstruction.
Applicable To
- Obstructive cholelithiasis
Excludes
- Cholangitis without calculus (K83.0)
Clinical Validation Requirements
- Biliary colic
- Jaundice
- Imaging showing bile duct stones
Coding Notes
Document obstruction and location of stones accurately.
K82.A1 - Gangrene of gallbladder
Use when gangrene is confirmed during surgery or pathology.
Applicable To
- Gangrenous cholecystitis
Excludes
- Perforation of gallbladder (K82.2)
Clinical Validation Requirements
- Operative findings of necrosis
- Pathology report confirming gangrene
Coding Notes
Ensure operative notes or pathology confirm gangrene.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gallbladder Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.10.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Potential for audit discrepancies., Financial: Incorrect reimbursement due to DRG misclassification.
Mitigation Strategy
Review imaging reports for obstruction details., Clarify with the provider if documentation is unclear.
Impact
Reimbursement: May result in lower reimbursement due to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use K80.10 for cases with both gallstones and acute cholecystitis.
Impact
Coding gangrene without proper documentation.
Mitigation Strategy
Ensure operative notes or pathology reports confirm gangrene.
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 Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gallbladder Disorder
Use these documentation templates to ensure complete and accurate documentation for Gallbladder Disorder. These templates include all required elements for proper coding and billing.
Laparoscopic Cholecystectomy
Specialty: SurgeryRequired Elements
- Pre-op diagnosis
- Intra-op findings
- Post-op diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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