ICD-10 Coding for Chronic Cholecystitis with Cholelithiasis(K80.10, K80.11)
Complete ICD-10-CM coding and documentation guide for Chronic Cholecystitis with Cholelithiasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Cholecystitis with Cholelithiasis
K80.0-K80.9Primary Range
Cholelithiasis and Cholecystitis
This range includes codes for gallstones with and without cholecystitis, specifying acute, chronic, and obstruction status.
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 chronic cholecystitis without obstruction | Use when chronic inflammation and gallstones are documented without obstruction. |
|
| K80.11 | Calculus of gallbladder with chronic cholecystitis with obstruction | Use when chronic inflammation, gallstones, and obstruction are documented. |
|
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 chronic cholecystitis with cholelithiasis
Essential facts and insights about Chronic Cholecystitis with Cholelithiasis
Primary ICD-10-CM Codes for chronic cholecystitis with cholelithiasis
Decision Criteria
clinical Criteria
- Presence of gallstones and chronic inflammation without obstruction
Applicable To
- Chronic cholecystitis with gallstones without obstruction
Clinical Validation Requirements
- Ultrasound showing gallstones and gallbladder wall thickening
- Histopathology confirming chronic inflammation
Code-Specific Risks
- Risk of undercoding if obstruction is present but not documented.
Coding Notes
- Ensure documentation specifies chronic inflammation and absence of obstruction.
K80.11 - Calculus of gallbladder with chronic cholecystitis with obstruction
Use when chronic inflammation, gallstones, and obstruction are documented.
Applicable To
- Chronic cholecystitis with gallstones and obstruction
Excludes
- Acute cholecystitis with obstruction (K80.01-K80.03)
Clinical Validation Requirements
- Imaging showing gallstones and ductal obstruction
- Histopathology confirming chronic inflammation
Coding Notes
Ensure documentation specifies both obstruction and chronic inflammation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Cholecystitis with Cholelithiasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K80.10.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of audit and penalties., Financial: Potential loss of reimbursement due to incorrect DRG assignment.
Mitigation Strategy
Ensure imaging reports are reviewed for obstruction., Clarify any ambiguous terms in clinical notes.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and non-compliance., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation supports the most specific code available.
Impact
Using unspecified codes when specific codes are applicable.
Mitigation Strategy
Ensure documentation supports the most specific code.
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 Chronic Cholecystitis with Cholelithiasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Cholecystitis with Cholelithiasis
Use these documentation templates to ensure complete and accurate documentation for Chronic Cholecystitis with Cholelithiasis. These templates include all required elements for proper coding and billing.
Chronic cholecystitis with gallstones
Specialty: GastroenterologyRequired Elements
- Chronic inflammatory changes
- Gallstones confirmed by imaging
- Absence of obstruction
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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