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ICD-10 Guide
ICD-10 CodesK82.0

K82.0

Billable

Obstruction of gallbladder

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

Code Description

ICD-10 K82.0 is a billable code used to indicate a diagnosis of obstruction of gallbladder.

Key Diagnostic Point:

Obstruction of the gallbladder, classified under ICD-10 code K82.0, refers to a blockage that prevents bile from flowing out of the gallbladder. This condition can arise from various causes, including gallstones, tumors, or inflammation. Clinically, patients may present with symptoms such as right upper quadrant pain, nausea, vomiting, and jaundice. The gallbladder is a small organ located beneath the liver, responsible for storing bile, which aids in digestion. When obstructed, bile can accumulate, leading to increased pressure and potential inflammation (cholecystitis). Disease progression may result in complications such as infection or perforation if left untreated. Diagnostic considerations include imaging studies such as ultrasound or CT scans to visualize the gallbladder and assess for the presence of stones or other obstructions. Laboratory tests may also be performed to evaluate liver function and rule out other conditions. Early diagnosis and management are crucial to prevent severe complications.

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 the type of obstruction.
  • Documentation gaps may arise if the cause of obstruction is not clearly stated.
  • Billing challenges can occur if the treatment plan is not well-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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K82.0 lies in its potential to lead to serious complications if not addressed promptly. Population health impact includes the prevalence of gallbladder diseases, which can affect a significant portion of the population, particularly those with risk factors such as obesity and high cholesterol. Quality measures focus on timely diagnosis and treatment to reduce complications and improve patient outcomes. Healthcare utilization patterns may reflect increased emergency visits and surgical interventions related to gallbladder obstruction, highlighting the need for effective management strategies.

ICD-9 vs ICD-10

The clinical significance of K82.0 lies in its potential to lead to serious complications if not addressed promptly. Population health impact includes the prevalence of gallbladder diseases, which can affect a significant portion of the population, particularly those with risk factors such as obesity and high cholesterol. Quality measures focus on timely diagnosis and treatment to reduce complications and improve patient outcomes. Healthcare utilization patterns may reflect increased emergency visits and surgical interventions related to gallbladder obstruction, highlighting the need for effective management strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the procedure performed, such as laparoscopic versus open cholecystectomy. Common denials may arise from insufficient documentation of the obstruction's cause or failure to provide supporting imaging results. Best practices include thorough documentation of clinical findings, treatment plans, and follow-up care to support the medical necessity of the 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 K82.0?

K82.0 specifically covers obstruction of the gallbladder due to various causes such as gallstones, tumors, or strictures. It does not include conditions like cholecystitis or cholelithiasis unless they are specifically due to obstruction.

When should K82.0 be used instead of related codes?

K82.0 should be used when the primary diagnosis is an obstruction of the gallbladder, particularly when the obstruction is confirmed through imaging or other diagnostic methods. It is important to differentiate it from K80 (gallstones) and K81 (cholecystitis) based on the clinical presentation and diagnostic findings.

What documentation supports K82.0?

Documentation for K82.0 should include clinical notes detailing the patient's symptoms, diagnostic imaging results confirming the obstruction, and any relevant laboratory findings. Clear documentation of the cause of the obstruction is essential for accurate coding.