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ICD-10 Guide
ICD-10 CodesK82.4

K82.4

Billable

Cholesterolosis of gallbladder

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

Code Description

ICD-10 K82.4 is a billable code used to indicate a diagnosis of cholesterolosis of gallbladder.

Key Diagnostic Point:

Cholesterolosis of the gallbladder is characterized by the accumulation of cholesterol esters and triglycerides within the gallbladder wall, leading to a condition often asymptomatic but can present with abdominal discomfort or pain, particularly in the right upper quadrant. The gallbladder, a small organ located beneath the liver, plays a crucial role in the digestion of fats by storing bile. Cholesterolosis may be associated with obesity, hyperlipidemia, and diabetes, and it can progress to more severe gallbladder diseases, including cholecystitis or gallstones. Diagnosis typically involves imaging studies such as ultrasound or CT scans, which may reveal a thickened gallbladder wall or the presence of cholesterol polyps. Laboratory tests may also be performed to assess liver function and lipid levels. Understanding the clinical presentation and progression of cholesterolosis is essential for timely intervention and management, particularly in patients at risk for gallbladder 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
  • Documentation gaps
  • Billing challenges

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

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

Cholesterolosis of the gallbladder, while often asymptomatic, can lead to significant clinical implications if left untreated. It is important for healthcare providers to recognize this condition to prevent complications such as cholecystitis or gallstone formation. Understanding the epidemiology of cholesterolosis can aid in population health strategies, particularly in high-risk groups such as those with obesity and metabolic syndrome. Quality measures should focus on early detection and management to reduce healthcare utilization and improve patient outcomes.

ICD-9 vs ICD-10

Cholesterolosis of the gallbladder, while often asymptomatic, can lead to significant clinical implications if left untreated. It is important for healthcare providers to recognize this condition to prevent complications such as cholecystitis or gallstone formation. Understanding the epidemiology of cholesterolosis can aid in population health strategies, particularly in high-risk groups such as those with obesity and metabolic syndrome. Quality measures should focus on early detection and management to reduce healthcare utilization and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of imaging studies and potential surgical interventions if complications arise. Common denials may occur if documentation does not adequately reflect the diagnosis or if there is confusion with related gallbladder conditions. Best practices include thorough documentation of patient history, imaging results, and clinical findings to support the coding and billing process.

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 K82.4?

K82.4 specifically covers cholesterolosis of the gallbladder, which may present as cholesterol polyps or a thickened gallbladder wall. It does not include other gallbladder diseases such as cholecystitis or gallstones, which are coded separately.

When should K82.4 be used instead of related codes?

K82.4 should be used when the diagnosis is specifically cholesterolosis without the presence of gallstones or acute cholecystitis. If gallstones or inflammation are present, codes K80 or K81 should be utilized.

What documentation supports K82.4?

Documentation should include imaging results indicating cholesterolosis, clinical notes detailing symptoms, and any relevant laboratory tests that support the diagnosis of cholesterol accumulation in the gallbladder.