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v1.0.0
ICD-10 Guide
ICD-10 CodesK83.0

K83.0

Non-billable

Cholangitis

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

Code Description

ICD-10 K83.0 is a used to indicate a diagnosis of cholangitis.

Key Diagnostic Point:

Cholangitis is an infection of the bile duct system, often resulting from a blockage due to gallstones, strictures, or tumors. Clinically, patients may present with symptoms such as jaundice, fever, chills, and abdominal pain, particularly in the right upper quadrant. The anatomy involved includes the bile ducts, gallbladder, and liver, which are crucial for bile production and excretion. Disease progression can lead to severe complications like sepsis or liver abscess if not treated promptly. Diagnostic considerations typically involve imaging studies such as ultrasound or MRI to identify obstructions, along with laboratory tests to assess liver function and infection markers. Early diagnosis and intervention are critical to prevent serious outcomes, making awareness of cholangitis essential in gastrointestinal practice.

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

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

Cholangitis has significant clinical implications, as it can lead to severe morbidity if not treated promptly. Its impact on population health is notable, particularly in patients with underlying conditions such as gallstones or biliary tract abnormalities. Quality measures focus on timely diagnosis and treatment to reduce complications, while healthcare utilization patterns indicate a need for increased awareness and education regarding this condition among healthcare providers.

ICD-9 vs ICD-10

Cholangitis has significant clinical implications, as it can lead to severe morbidity if not treated promptly. Its impact on population health is notable, particularly in patients with underlying conditions such as gallstones or biliary tract abnormalities. Quality measures focus on timely diagnosis and treatment to reduce complications, while healthcare utilization patterns indicate a need for increased awareness and education regarding this condition among healthcare providers.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case, the necessity of imaging studies, and any surgical procedures. Common denials may arise from insufficient documentation of the diagnosis or lack of supporting evidence for the procedures performed. Best practices include ensuring that all clinical notes are thorough and that coding reflects the severity of the condition accurately.

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 K83.0?

K83.0 specifically covers acute cholangitis, which may arise from conditions such as choledocholithiasis (bile duct stones), biliary strictures, or tumors obstructing the bile duct. It is characterized by the classic triad of fever, jaundice, and right upper quadrant pain.

When should K83.0 be used instead of related codes?

K83.0 should be used when the patient presents with symptoms indicative of cholangitis, particularly when there is evidence of infection and obstruction in the bile duct system. It is important to differentiate it from other biliary conditions, such as K83.1 (Cholecystitis), which does not involve the bile duct.

What documentation supports K83.0?

Documentation for K83.0 should include clinical notes detailing the patient's symptoms, diagnostic imaging results, laboratory findings indicating infection, and any treatments administered. Clear documentation of the clinical decision-making process is essential for accurate coding.