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ICD-10 Guide
ICD-10 CodesChapter 11: Diseases of the digestive systemK82

K82

Non-billable

Other diseases of gallbladder

Chapter 11:Diseases of the digestive system

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

Code Description

ICD-10 K82 is a used to indicate a diagnosis of other diseases of gallbladder.

Key Diagnostic Point:

K82 encompasses a range of conditions affecting the gallbladder that do not fall under more specific categories. The gallbladder is a small organ located beneath the liver, responsible for storing bile, which aids in digestion. Diseases classified under K82 may include gallbladder polyps, gallbladder diverticula, and other non-specific gallbladder disorders. Clinical presentations can vary widely, with patients experiencing symptoms such as abdominal pain, nausea, vomiting, and jaundice. Disease progression may lead to complications such as cholecystitis or pancreatitis if left untreated. Diagnostic considerations include imaging studies like ultrasound or CT scans, which can help visualize gallbladder abnormalities. Laboratory tests may also be performed to assess liver function and rule out other gastrointestinal conditions. Accurate diagnosis is crucial for determining the appropriate treatment plan, which may range from watchful waiting to surgical intervention, depending on the severity and nature of the disease.

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 misclassification of gallbladder conditions.
  • Documentation gaps may arise if the clinical rationale for diagnosis is not clearly stated.
  • Billing challenges can occur due to the variability in treatment approaches and the need for precise coding.

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 CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

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 K82 lies in its potential to lead to serious complications if not properly diagnosed and managed. Population health impact includes the prevalence of gallbladder diseases, which can affect a significant portion of the adult population. Quality measures may focus on timely diagnosis and appropriate treatment to prevent complications. Healthcare utilization patterns indicate that conditions classified under K82 may lead to increased emergency visits and surgical interventions, highlighting the importance of effective management and coding accuracy.

ICD-9 vs ICD-10

The clinical significance of K82 lies in its potential to lead to serious complications if not properly diagnosed and managed. Population health impact includes the prevalence of gallbladder diseases, which can affect a significant portion of the adult population. Quality measures may focus on timely diagnosis and appropriate treatment to prevent complications. Healthcare utilization patterns indicate that conditions classified under K82 may lead to increased emergency visits and surgical interventions, highlighting the importance of effective management and coding accuracy.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the condition and the treatment provided. Common denials may arise from insufficient documentation or coding errors, particularly if the diagnosis is not clearly supported by clinical evidence. Best practices include ensuring that all relevant clinical notes, imaging results, and laboratory tests are included in the patient's medical record to substantiate the diagnosis and treatment plan.

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 K82?

K82 covers conditions such as gallbladder polyps, gallbladder diverticula, and other unspecified diseases of the gallbladder that do not fit into more specific categories.

When should K82 be used instead of related codes?

K82 should be used when the gallbladder condition is not specifically classified under other codes like K80 or K81, and when the diagnosis is supported by clinical findings.

What documentation supports K82?

Documentation should include clinical notes detailing symptoms, diagnostic imaging results, and any relevant laboratory tests that support the diagnosis of gallbladder disease.