ICD-10 Coding for Obstruction of Bile Duct(K83.1, K80.33)
Complete ICD-10-CM coding and documentation guide for Obstruction of Bile Duct. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Obstruction of Bile Duct
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K83.1 | Obstruction of bile duct | Use when obstruction is due to causes other than gallstones. |
|
| K80.33 | Calculus of bile duct with acute cholangitis with obstruction | Use when obstruction is due to gallstones with cholangitis. |
|
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 bile duct obstruction
Essential facts and insights about Obstruction of Bile Duct
Primary ICD-10-CM Codes for obstruction of bile duct
Decision Criteria
clinical Criteria
- Obstruction without gallstones
documentation Criteria
- Detailed imaging and lab results
Applicable To
- Biliary stricture
- Biliary stenosis
Excludes
- Obstruction due to gallstones (K80.33)
Clinical Validation Requirements
- Imaging showing ductal narrowing
- Elevated liver function tests
Code-Specific Risks
- Incorrectly coding when gallstones are present
Coding Notes
- Ensure documentation specifies the cause of obstruction.
K80.33 - Calculus of bile duct with acute cholangitis with obstruction
Use when obstruction is due to gallstones with cholangitis.
Applicable To
- Cholangitis with gallstones
Excludes
- Obstruction without gallstones (K83.1)
Clinical Validation Requirements
- Imaging showing gallstones
- Symptoms of cholangitis
Coding Notes
Document presence of gallstones and cholangitis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Complications of liver transplant
T86.49Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Obstruction of Bile Duct to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K83.1.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denial
Mitigation Strategy
Require imaging before coding, Review documentation checklist
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use K80.33 if gallstones and cholangitis are present.
Impact
Improper sequencing of transplant-related codes
Mitigation Strategy
Educate coders on sequencing rules
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 Obstruction of Bile Duct, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Obstruction of Bile Duct
Use these documentation templates to ensure complete and accurate documentation for Obstruction of Bile Duct. These templates include all required elements for proper coding and billing.
Post-surgical biliary stricture
Specialty: GastroenterologyRequired Elements
- Imaging findings
- Surgical history
- Lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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