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ICD-10 Guide
ICD-10 CodesK80.10

K80.10

Billable

Calculus of gallbladder with chronic cholecystitis without obstruction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K80.10 is a billable code used to indicate a diagnosis of calculus of gallbladder with chronic cholecystitis without obstruction.

Key Diagnostic Point:

K80.10 refers to the presence of gallstones (calculi) in the gallbladder accompanied by chronic cholecystitis without obstruction. The gallbladder is a small organ located beneath the liver, responsible for storing bile, which aids in digestion. Chronic cholecystitis is characterized by inflammation of the gallbladder, often due to repeated episodes of acute cholecystitis or persistent irritation from gallstones. Patients may present with symptoms such as abdominal pain, particularly in the right upper quadrant, nausea, and dyspepsia. Over time, chronic inflammation can lead to thickening of the gallbladder wall and potential complications such as gallbladder dysfunction. Diagnosis typically involves imaging studies like ultrasound or CT scans to visualize gallstones and assess gallbladder inflammation. Laboratory tests may also be performed to evaluate liver function and rule out other conditions. Understanding the anatomy and pathophysiology of the gallbladder is crucial for effective diagnosis and management of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassifying acute versus chronic conditions.
  • Documentation gaps may arise if the chronic nature of cholecystitis is not clearly stated.
  • Billing challenges can occur if the relationship between gallstones and cholecystitis is not adequately documented.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

General Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K80.10 lies in its potential to lead to complications if left untreated, such as acute cholecystitis or pancreatitis. Population health impact includes the prevalence of gallbladder disease, which affects a significant portion of the population, particularly in those with risk factors such as obesity and high-fat diets. Quality measures focus on timely diagnosis and management to prevent complications, while healthcare utilization patterns show that patients with chronic cholecystitis often require surgical intervention, impacting healthcare resources and costs.

ICD-9 vs ICD-10

The clinical significance of K80.10 lies in its potential to lead to complications if left untreated, such as acute cholecystitis or pancreatitis. Population health impact includes the prevalence of gallbladder disease, which affects a significant portion of the population, particularly in those with risk factors such as obesity and high-fat diets. Quality measures focus on timely diagnosis and management to prevent complications, while healthcare utilization patterns show that patients with chronic cholecystitis often require surgical intervention, impacting healthcare resources and costs.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by imaging and clinical findings. Common denials may arise from insufficient documentation or misclassification of the condition. Best practices include maintaining detailed records of patient history, treatment plans, and follow-up care to substantiate the medical necessity of services rendered.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K80.10?

K80.10 specifically covers the presence of gallstones in the gallbladder along with chronic cholecystitis without any obstruction. It does not include acute cholecystitis or complications such as perforation or pancreatitis.

When should K80.10 be used instead of related codes?

K80.10 should be used when the patient has chronic cholecystitis due to gallstones without any acute exacerbation or obstruction. If the patient presents with acute symptoms or complications, related codes such as K80.11 or K81.0 should be considered.

What documentation supports K80.10?

Documentation should include a clear diagnosis of chronic cholecystitis, evidence of gallstones via imaging studies, and any relevant patient history that supports the chronic nature of the condition.