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ICD-10 Coding for Adenomyomatosis of the Gallbladder(K82.9)

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

Also known as:

Gallbladder AdenomyomatosisGallbladder Wall Thickening with RAS

Related ICD-10 Code Ranges

Complete code families applicable to Adenomyomatosis of the Gallbladder

K80-K87Primary Range

Diseases of the gallbladder, biliary tract, and pancreas

This range includes codes for gallbladder diseases, including adenomyomatosis.

Key Information: ICD-10 code for adenomyomatosis of the gallbladder

Essential facts and insights about Adenomyomatosis of the Gallbladder

The ICD-10 code for adenomyomatosis of the gallbladder is K82.9, covering unspecified gallbladder diseases.

Primary ICD-10-CM Code for adenomyomatosis of the gallbladder

Disease of gallbladder, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms Rokitansky-Aschoff sinuses.

documentation Criteria

  • Documentation includes specific imaging findings.

Applicable To

  • Gallbladder adenomyomatosis

Excludes

  • Cholelithiasis (K80.-)
  • Cholecystitis (K81.-)

Clinical Validation Requirements

  • Imaging showing Rokitansky-Aschoff sinuses
  • Ultrasound with comet-tail artifacts
  • MRI showing intramural cystic spaces

Code-Specific Risks

  • Misclassification as gallbladder cancer
  • Inadequate documentation of imaging findings

Coding Notes

  • Ensure documentation specifies adenomyomatosis with imaging confirmation.

Ancillary Codes

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

Cholelithiasis

K80.xx
Use if gallstones are present alongside adenomyomatosis.

Cholecystitis

K81.x
Use if inflammation is present with adenomyomatosis.

Differential Codes

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

Cholelithiasis

K80.xx
Presence of gallstones confirmed by imaging.

Cholecystitis

K81.x
Inflammation and pain with elevated WBC/CRP.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Adenomyomatosis of the Gallbladder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K82.9.

Impact

Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues

Mitigation Strategy

Standardize imaging report templates, Educate clinicians on documentation requirements

Impact

Reimbursement: May lead to incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Require RAS sinuses/imaging confirmation

Impact

Lack of detailed imaging findings can lead to audit flags.

Mitigation Strategy

Ensure all imaging reports include specific findings related to adenomyomatosis.

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 Adenomyomatosis of the Gallbladder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Adenomyomatosis of the Gallbladder

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

Radiology Report for Adenomyomatosis

Specialty: Radiology

Required Elements

  • Gallbladder wall thickening
  • Rokitansky-Aschoff sinuses
  • Comet-tail artifacts

Examples: Poor vs. Good Documentation

Poor Documentation Example
Gallbladder wall thickening noted.
Good Documentation Example
Ultrasound reveals focal gallbladder wall thickening with comet-tail artifacts and intramural cystic spaces consistent with adenomyomatosis.
Explanation
The good example specifies imaging findings that confirm adenomyomatosis.

Need help with ICD-10 coding for Adenomyomatosis of the Gallbladder? Ask your questions below.

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