Acute cholecystitis with chronic cholecystitis
ICD-10 K81.2 is a billable code used to indicate a diagnosis of acute cholecystitis with chronic cholecystitis.
K81.2 refers to acute cholecystitis with chronic cholecystitis, a condition characterized by inflammation of the gallbladder that occurs in the context of pre-existing chronic inflammation. Clinically, patients may present with right upper quadrant pain, fever, nausea, and vomiting. The gallbladder, a small organ located beneath the liver, plays a crucial role in bile storage and fat digestion. In acute cholecystitis, the gallbladder becomes inflamed, often due to obstruction of the cystic duct by gallstones, leading to increased pressure and bacterial infection. Chronic cholecystitis, on the other hand, results from repeated episodes of inflammation, often due to persistent gallstones, which can lead to fibrosis and thickening of the gallbladder wall. Diagnosis typically involves imaging studies such as ultrasound or CT scans, which can reveal gallstones, gallbladder wall thickening, and pericholecystic fluid. Laboratory tests may show elevated white blood cell counts and liver function tests. Understanding the interplay between acute and chronic cholecystitis is essential for effective management, which may include surgical intervention, such as cholecystectomy, especially in cases of recurrent symptoms or complications.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K81.2 covers cases of acute cholecystitis that occur in patients with a history of chronic cholecystitis. This includes patients who have experienced recurrent gallbladder inflammation and are currently presenting with acute symptoms.
K81.2 should be used when a patient presents with acute cholecystitis and there is documented evidence of chronic cholecystitis. If the acute condition is isolated without a chronic history, K81.0 would be more appropriate.
Documentation should include a clear history of chronic cholecystitis, current symptoms of acute cholecystitis, imaging results showing gallbladder inflammation, and any relevant laboratory findings.
