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ICD-10 Guide
ICD-10 CodesK82.2

K82.2

Billable

Perforation of gallbladder

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

Code Description

ICD-10 K82.2 is a billable code used to indicate a diagnosis of perforation of gallbladder.

Key Diagnostic Point:

Perforation of the gallbladder is a serious condition characterized by a breach in the gallbladder wall, often resulting from complications of cholecystitis, gallstones, or trauma. Clinically, patients may present with acute abdominal pain, fever, and signs of peritonitis. The gallbladder, located beneath the liver, plays a crucial role in bile storage and release, and its perforation can lead to bile leakage into the peritoneal cavity, causing severe inflammation and infection. Disease progression can be rapid, leading to complications such as sepsis or abscess formation if not promptly addressed. Diagnostic considerations include imaging studies such as ultrasound or CT scans, which can reveal fluid collections or direct signs of perforation. Laboratory tests may show elevated white blood cell counts and liver function abnormalities. Early recognition and intervention are critical to prevent life-threatening outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm perforation.
  • Treatment complexity: Often necessitates surgical intervention, which can vary in approach.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires precise coding to differentiate from other gallbladder conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with other gallbladder disorders.
  • Documentation gaps: Incomplete clinical notes may lead to improper coding.
  • Billing challenges: High risk of denials if documentation does not support the severity of the condition.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K82.2 lies in its potential for severe complications, including sepsis and peritonitis, which can lead to increased morbidity and mortality. Population health impact is notable, as gallbladder diseases are prevalent, and timely intervention can significantly improve outcomes. Quality measures may include monitoring the rates of surgical interventions for perforated gallbladders and associated complications. Understanding healthcare utilization patterns for this condition can aid in resource allocation and improve patient care strategies.

ICD-9 vs ICD-10

The clinical significance of K82.2 lies in its potential for severe complications, including sepsis and peritonitis, which can lead to increased morbidity and mortality. Population health impact is notable, as gallbladder diseases are prevalent, and timely intervention can significantly improve outcomes. Quality measures may include monitoring the rates of surgical interventions for perforated gallbladders and associated complications. Understanding healthcare utilization patterns for this condition can aid in resource allocation and improve patient care strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the necessity for surgical intervention. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all clinical findings, imaging results, and treatment plans are clearly documented to support the coding and billing process. Adhering to coding best practices, such as using the most specific code available and ensuring accurate representation of the patient's condition, can help mitigate billing 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 K82.2?

K82.2 specifically covers perforation of the gallbladder, which may arise from acute cholecystitis, trauma, or malignancy. It is essential to differentiate it from other gallbladder disorders such as cholecystitis or gallstones without perforation.

When should K82.2 be used instead of related codes?

K82.2 should be used when there is clear evidence of gallbladder perforation, as indicated by imaging studies and clinical presentation. It is crucial to differentiate it from K82.0 (cholecystitis) or K80.0 (gallstones) without perforation.

What documentation supports K82.2?

Documentation should include clinical findings, imaging results showing perforation, and any surgical notes if applicable. Detailed notes on the patient's symptoms, laboratory results, and treatment plan are also necessary to support the use of K82.2.