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ICD-10 Guide
ICD-10 CodesK83.09

K83.09

Billable

Other cholangitis

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

Code Description

ICD-10 K83.09 is a billable code used to indicate a diagnosis of other cholangitis.

Key Diagnostic Point:

K83.09 refers to 'Other cholangitis,' a condition characterized by inflammation of the bile ducts, which can lead to obstruction and infection. The biliary system includes the gallbladder, liver, and bile ducts, which are crucial for digestion and the excretion of waste. Cholangitis can arise from various etiologies, including choledocholithiasis (bile duct stones), strictures, or malignancies. Clinically, patients may present with symptoms such as jaundice, fever, abdominal pain, and changes in stool color. The disease progression can lead to serious complications, including sepsis and liver failure if not promptly treated. Diagnosis typically involves imaging studies such as ultrasound, CT scans, or MRCP to visualize the biliary tree, alongside laboratory tests to assess liver function and infection markers. Early recognition and management are essential to prevent severe outcomes, making this condition a significant focus in gastroenterology and hepatology.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and laboratory tests for confirmation.
  • Treatment complexity: May involve antibiotics, endoscopic procedures, or surgery.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires accurate identification of the underlying cause of cholangitis.

Audit Risk Factors

  • Common coding errors: Misclassification of cholangitis types.
  • Documentation gaps: Incomplete clinical notes regarding the cause and treatment.
  • Billing challenges: Potential denials due to lack of specificity in documentation.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: Hepatology

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

K83.09 has significant clinical implications, as cholangitis can lead to severe complications if not treated promptly. The condition affects a notable portion of the population, particularly those with underlying biliary tract disorders. Understanding the epidemiology of cholangitis can help healthcare providers implement preventive measures and improve patient outcomes. Quality measures related to timely diagnosis and treatment of cholangitis are essential for enhancing healthcare utilization patterns and ensuring optimal patient care.

ICD-9 vs ICD-10

K83.09 has significant clinical implications, as cholangitis can lead to severe complications if not treated promptly. The condition affects a notable portion of the population, particularly those with underlying biliary tract disorders. Understanding the epidemiology of cholangitis can help healthcare providers implement preventive measures and improve patient outcomes. Quality measures related to timely diagnosis and treatment of cholangitis are essential for enhancing healthcare utilization patterns and ensuring optimal patient care.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of imaging studies and laboratory tests that confirm the diagnosis of cholangitis. Common denials may arise from insufficient documentation or lack of specificity in coding. It is crucial to ensure that all clinical notes reflect the patient's condition accurately and that any procedures performed are well-documented to support the billing process. Adhering to coding best practices can mitigate these challenges.

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 K83.09?

K83.09 encompasses various forms of cholangitis not classified elsewhere, including those due to strictures, infections, or other non-specific causes. It is important to differentiate it from acute and recurrent cholangitis.

When should K83.09 be used instead of related codes?

K83.09 should be used when cholangitis is present without a more specific diagnosis, such as acute cholangitis (K83.0) or sclerosing cholangitis (K83.8). Proper clinical documentation is essential for accurate code selection.

What documentation supports K83.09?

Documentation should include clinical findings, imaging results, laboratory tests indicating liver function and infection, and treatment plans. Detailed notes on the patient's history and presenting symptoms are also crucial.