Spasm of sphincter of Oddi
ICD-10 K83.4 is a billable code used to indicate a diagnosis of spasm of sphincter of oddi.
Spasm of the sphincter of Oddi is a condition characterized by intermittent or persistent contraction of the sphincter muscle located at the junction of the bile duct and the pancreatic duct. This muscle regulates the flow of bile and pancreatic juices into the duodenum. Clinically, patients may present with episodes of abdominal pain, often in the right upper quadrant, which may mimic biliary colic or pancreatitis. The pain can be associated with nausea and vomiting. The condition may arise following cholecystectomy or may be idiopathic. Diagnosis typically involves imaging studies such as ultrasound or MRCP, and may also include endoscopic retrograde cholangiopancreatography (ERCP) to assess for any obstructive pathology. Treatment options may include pharmacological management with antispasmodics or endoscopic interventions to relieve the spasm. Chronic cases may lead to complications such as pancreatitis or cholangitis if not properly managed.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K83.4 specifically covers spasm of the sphincter of Oddi, which may occur in the context of biliary colic or post-cholecystectomy syndrome. It does not include other conditions affecting the biliary system such as strictures or obstructions.
K83.4 should be used when the primary issue is identified as a spasm of the sphincter of Oddi, particularly when symptoms are present without evidence of obstruction or other biliary pathology.
Documentation should include a detailed patient history, symptom description, results from imaging studies, and any therapeutic interventions attempted. ERCP findings, if performed, should also be included.
