K80.42
Calculus of bile duct with acute cholecystitis without obstruction
Clinical Classification Guidelines
Medical Intelligence & Overview
K80.42 refers to a medical condition where a gallstone is present in the bile duct along with acute inflammation of the gallbladder, known as cholecystitis. This condition occurs without an obstruction in the bile duct, meaning the flow of bile is not completely blocked. It is a serious condition that requires prompt medical attention to prevent complications. While gallstones are common, their presence combined with inflammation can cause significant discomfort and requires proper diagnosis and management.
Causes & Symptoms
Clinical Causes: Formation of gallstones due to imbalance of substances in bile such as cholesterol or bilirubin Inflammation of the gallbladder caused by gallstones blocking the cystic duct Infection or bacterial overgrowth in the biliary system Rapid weight loss or fasting which can alter bile composition Certain medical conditions such as diabetes or liver disease that predispose to gallstone formation Genetic factors that influence cholesterol metabolism and gallstone risk
Key Symptoms: Severe pain in the upper right abdomen or center of the abdomen Pain that may radiate to the back or right shoulder Nausea and vomiting Fever and chills indicating infection Tenderness in the abdomen upon palpation Jaundice (yellowing of the skin and eyes) may occur if bile flow is affected Dark urine and pale stools in some cases
Diagnostic & Treatment
Diagnosis Path: Ultrasound: a primary imaging tool to visualize gallstones and inflammation Blood tests: to check for signs of infection, inflammation, or liver function abnormalities Hepatobiliary iminodiacetic acid (HIDA) scan: to assess the functionality of the gallbladder and bile ducts Other imaging techniques such as CT scan or MRI if necessary
Treatment Protocols: Hospitalization for close monitoring and IV fluids to prevent dehydration Pain management using medications as prescribed by healthcare providers Antibiotics to treat underlying infection if present Dietary modifications such as a low-fat diet during recovery Surgical removal of the gallbladder (cholecystectomy), often performed laparoscopically Endoscopic procedures like ERCP (Endoscopic Retrograde Cholangiopancreatography) to remove gallstones from the bile duct if needed
Clinical Advice & FAQs
Billing Guidance
Is K80.42 a billable ICD-10 code?
Yes, K80.42 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K80.42?
Clinical documentation must specify the nature of Calculus of bile duct with acute cholecystitis without obstruction and any associated comorbidities for accurate reporting.
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