ICD-10 Coding for Gallbladder Conditions(K80.10, K80.20)
Complete ICD-10-CM coding and documentation guide for Gallbladder Conditions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gallbladder Conditions
K80-K82Primary Range
Diseases of the gallbladder, biliary tract, and pancreas
This range includes codes for gallbladder diseases 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 | Cholelithiasis with acute cholecystitis | Use when both gallstones and acute cholecystitis are confirmed. |
|
| K80.20 | Calculus of gallbladder without cholecystitis | Use when gallstones are present without 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 with cholecystitis
Essential facts and insights about Gallbladder Conditions
Primary ICD-10-CM Codes for gallbladder
Decision Criteria
clinical Criteria
- Presence of gallstones with acute inflammation
Applicable To
- Acute cholecystitis with gallstones
Excludes
- Chronic cholecystitis without gallstones (K81.1)
Clinical Validation Requirements
- Ultrasound showing gallstones with wall thickening >4mm
- Elevated WBC and CRP
Code-Specific Risks
- Misclassification if chronic cholecystitis is present
Coding Notes
- Ensure acute status is documented.
K80.20 - Calculus of gallbladder without cholecystitis
Use when gallstones are present without cholecystitis.
Applicable To
- Gallstones without inflammation
Excludes
- Cholecystitis with gallstones (K80.10)
Clinical Validation Requirements
- Imaging showing gallstones without wall thickening
Coding Notes
Ensure absence of cholecystitis is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gallbladder Conditions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.10.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Include imaging results in all relevant documentation, Cross-check with radiology reports
Impact
Reimbursement: May lead to incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy of clinical data
Mitigation Strategy
Query provider for specificity
Impact
Risk of incorrect coding without acute/chronic specification
Mitigation Strategy
Implement provider queries for specificity
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 Conditions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gallbladder Conditions
Use these documentation templates to ensure complete and accurate documentation for Gallbladder Conditions. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Patient history
- Physical exam findings
- Imaging results
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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