Gallstones ICD-10-CM Codes

What ICD-10 Codes are Used for Gallstones?

Gallstones, also known as cholelithiasis, are solid particles in the gallbladder. Accurate ICD-10-CM codes are crucial for medical billing and documentation. Below are the commonly used codes for Gallstones:

K80.0 - Calculus of gallbladder with acute cholecystitis: This code is used for gallstones in the gallbladder with acute inflammation.

K80.1 - Calculus of gallbladder with other cholecystitis: This code is used for gallstones in the gallbladder with other forms of cholecystitis.

K80.2 - Calculus of gallbladder with acute and chronic cholecystitis: This code is used for gallbladder gallstones with acute and chronic inflammation.

K80.3 - Calculus of gallbladder with other cholecystitis, with obstruction: This code is used for gallstones in the gallbladder with cholecystitis and obstruction.

K80.4 - Calculus of gallbladder without cholecystitis: This code is used for gallstones in the gallbladder without inflammation.

K80.5 - Calculus of bile duct with cholangitis: This code is used for gallstones in the bile duct with inflammation.

K80.6 - Calculus of bile duct without cholangitis: This code is used for gallstones in the bile duct without inflammation.

K80.8 - Other cholelithiasis: This code covers other specified forms of gallstones.

‍K80.9 - Cholelithiasis, unspecified: This code is used when the specific type of gallstone is not documented.

Which Gallstones ICD codes are Billable?

The following ICD-10-CM codes for Gallstones are billable:

K80.0 - Yes, billable: Gallstones in the gallbladder with acute cholecystitis can be billed when accurately coded.

K80.1 - Yes, billable: Gallstones in the gallbladder with other cholecystitis forms are eligible for reimbursement.

K80.2 - Yes, billable: Gallstones in the gallbladder with acute and chronic cholecystitis can be reimbursed.

K80.3 - Yes, billable: Gallstones in the gallbladder with cholecystitis and obstruction are eligible for reimbursement.

K80.4 - Yes, billable: Gallstones in the gallbladder without cholecystitis can be billed using this code.

K80.5 - Yes, billable: Gallstones in the bile duct with cholangitis can be reimbursed when accurately documented.

K80.6 - Yes, billable: Gallstones in the bile duct without cholangitis are eligible for reimbursement.

K80.8 - Yes, billable: Other specified forms of cholelithiasis can be billed when documented accurately.

K80.9 - Yes, billable: Unspecified cholelithiasis can be reimbursed when the specific type is not documented.

Clinical Information

• Gallstones are hardened deposits in the gallbladder, a small organ beneath the liver.
• They can be cholesterol stones (most common) or pigment stones.
• Gallstones often develop due to imbalances in bile composition or reduced gallbladder emptying.
• Many people with gallstones are asymptomatic; symptoms may arise when stones block bile flow or cause inflammation.
• Symptoms can include sudden and intense pain in the upper abdomen (gallbladder attack), often after consuming fatty foods.
• Jaundice (yellowing of skin and eyes) can occur if a stone obstructs the bile duct.
• Diagnosis involves imaging tests like ultrasound, CT scans, or MRIs.
• Treatment varies based on symptoms; surgery (cholecystectomy) is typical for symptomatic gallstones.
• Nonsurgical options may be considered to dissolve small cholesterol stones or manage mild symptoms.
• Preventive measures include maintaining a healthy weight, avoiding rapid weight loss, and dietary modifications.
• Seek medical attention for severe abdominal pain or symptoms of gallbladder inflammation.

Synonyms Include

• Cholelithiasis
• Gallstone Disease
• Gallbladder Stones
• Biliary Calculi