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ICD-10 Coding for Gallbladder Stone(K80.00, K80.10, K80.20)

Complete ICD-10-CM coding and documentation guide for Gallbladder Stone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CholelithiasisGallstones

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Related ICD-10 Code Ranges

Complete code families applicable to Gallbladder Stone

K80-K87Primary Range

Disorders of gallbladder, biliary tract and pancreas

This range includes all conditions related to gallbladder stones, including cholelithiasis with and without complications.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K80.00Calculus of gallbladder with acute cholecystitis without obstructionUse when acute cholecystitis is present with gallstones but without obstruction.
  • Murphy's sign positive
  • WBC >11,000
  • Ultrasound showing gallbladder wall thickening
K80.10Calculus of gallbladder with chronic cholecystitis without obstructionUse when chronic cholecystitis is documented with gallstones and no obstruction.
  • Histopathology confirming chronic inflammation
  • Ultrasound findings consistent with chronic cholecystitis
K80.20Calculus of gallbladder without cholecystitisUse when gallstones are present without any symptoms or cholecystitis.
  • Ultrasound showing gallstones
  • No clinical symptoms of cholecystitis

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 stones

Essential facts and insights about Gallbladder Stone

The ICD-10 code for gallbladder stones without cholecystitis is K80.20. For stones with acute cholecystitis, use K80.00, and for chronic cholecystitis, use K80.10.

Primary ICD-10-CM Codes for gallbladder stone

K80.00
Calculus of gallbladder with acute cholecystitis without obstruction
Billable Code

Decision Criteria

clinical Criteria

  • Presence of acute symptoms and gallstones without obstruction

Applicable To

  • Acute cholecystitis with gallstones

Excludes

  • Chronic cholecystitis with gallstones (K80.10)

Clinical Validation Requirements

  • Murphy's sign positive
  • WBC >11,000
  • Ultrasound showing gallbladder wall thickening

Code-Specific Risks

  • Misclassification if obstruction is present but not documented

Coding Notes

  • Ensure documentation specifies acute cholecystitis without obstruction.
View Full Code Details

Ancillary Codes

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

Right upper quadrant pain

R10.11
Use to document associated symptoms of gallbladder stones.

Other specified diseases of gallbladder

K82.89
Use for additional gallbladder conditions.

Encounter for other specified special examinations

Z01.89
Use for screening encounters where gallstones are found incidentally.

Differential Codes

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

Calculus of gallbladder with chronic cholecystitis without obstruction

K80.10
Use K80.10 if the cholecystitis is chronic rather than acute.

Calculus of gallbladder with acute cholecystitis without obstruction

K80.00
Use K80.00 if the cholecystitis is acute rather than chronic.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Gallbladder Stone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.00.

Impact

Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to incorrect coding.

Mitigation Strategy

Use standardized templates, Regular training on documentation requirements

Impact

Reimbursement: Incorrect coding can lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Ensure documentation specifies whether cholecystitis is acute, chronic, or absent.

Impact

Inadequate documentation of cholecystitis status can lead to audit findings.

Mitigation Strategy

Implement thorough documentation practices and regular audits.

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 Stone, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Gallbladder Stone

Use these documentation templates to ensure complete and accurate documentation for Gallbladder Stone. These templates include all required elements for proper coding and billing.

Acute cholecystitis with gallstones

Specialty: General Surgery

Required Elements

  • Positive Murphy's sign
  • WBC count
  • Ultrasound findings

Example Documentation

Patient presents with RUQ pain, positive Murphy's sign, WBC 12,000. Ultrasound shows gallstones with thickened gallbladder wall.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has gallstones.
Good Documentation Example
Patient has gallstones with acute cholecystitis, confirmed by ultrasound showing wall thickening.
Explanation
The good example provides specific details necessary for accurate coding.

Need help with ICD-10 coding for Gallbladder Stone? Ask your questions below.

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