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v1.0.0
ICD-10 Guide
DiagnosesSymptomatic Cholelithiasis

Symptomatic Cholelithiasis

ICD-10 Coding for Symptomatic Cholelithiasis(K80.20, K80.10, K80.61)

PRIMARY SPECIALTYGastroenterology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Symptomatic Cholelithiasis?
Essential facts and insights about Symptomatic Cholelithiasis

Key Clinical Considerations:

  • Biliary colic, often presenting as severe abdominal pain in the right upper quadrant
  • Nausea and vomiting, especially after fatty meals
  • Jaundice may occur if a stone obstructs the common bile duct

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of gallstones or previous cholecystitis
  • Description of symptoms and their duration
  • Results of imaging studies such as ultrasound or CT scan

Coding Guidelines

Usage Guidelines & Examples

  • Ensure to differentiate between symptomatic and asymptomatic cholelithiasis for accurate coding.
  • Common errors include misclassifying acute vs. chronic cholecystitis.

Code Exclusions

Important Exclusions

  • Acute pancreatitis due to gallstones (K85.1)
  • Biliary stricture (K83.1)

Related ICD-10 Codes

Primary Codes
K80.20
Cholelithiasis without cholecystitis
K80.21
Cholelithiasis with acute cholecystitis
K80.22
Cholelithiasis with chronic cholecystitis
Ancillary Codes
R10.11
R94.5
Differential Codes
K80.10
K80.20
K83.0

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

  • Adults with a history of gallstones
  • Emergency and outpatient gastroenterology settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, symptom description, and imaging results.

Billing considerations?

Ensure correct ICD-10 codes are used based on the presence of symptoms and imaging findings.