K80.4
Calculus of bile duct with cholecystitis
Clinical Classification Guidelines
Use Additional Code
- code if applicable for associated gangrene of gallbladder (K82.A1), or perforation of gallbladder (K82.A2)
Inclusion Terms
- Any condition listed in K80.5 with cholecystitis (with cholangitis)
Code Also
- , if applicable, fistula of bile duct (K83.3)
Medical Intelligence & Overview
ICD-10 code K80.4 refers to a medical condition characterized by the presence of stones in the bile duct along with cholecystitis, which is inflammation of the gallbladder. This condition occurs when gallstones obstruct the bile duct, leading to inflammation and possible complications. It is a serious condition that requires medical attention to manage symptoms and prevent further health issues.
Causes & Symptoms
Clinical Causes: Formation of gallstones in the gallbladder that migrate into the bile duct Imbalance in the substances that make up bile, leading to stone formation Obstruction of the bile duct by stones, causing backup of bile Infections or inflammation that can promote stone formation or obstruction Rapid weight loss or fasting, which can alter bile composition Genetic factors that influence gallstone formation
Key Symptoms: Severe upper right abdominal pain that may radiate to the back or shoulder Fever and chills due to infection or inflammation Nausea and vomiting Jaundice, causing yellowing of the skin and eyes Dark urine and pale or clay-colored stools Bloating and indigestion
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of clinical evaluation and diagnostic tests such as ultrasound imaging, which can reveal stones in the bile duct and signs of inflammation. Blood tests may show elevated liver enzymes, white blood cell counts, and bilirubin levels indicating infection or obstruction. Sometimes, additional imaging techniques like MRCP (Magnetic Resonance Cholangiopancreatography) are used to visualize the bile ducts more clearly.
Treatment Protocols: Management of this condition typically includes a combination of medical and surgical approaches. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is K80.4 a billable ICD-10 code?
Yes, K80.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K80.4?
Clinical documentation must specify the nature of Calculus of bile duct with cholecystitis and any associated comorbidities for accurate reporting.
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