ICD-10-CM Billable Code

K80.35

Calculus of bile duct with chronic cholangitis with obstruction

Clinical Classification Guidelines

Medical Intelligence & Overview

Calculus of the bile duct with chronic cholangitis and obstruction is a condition characterized by the presence of gallstones blocking the bile ducts, leading to ongoing inflammation and potential complications. This condition can affect the normal flow of bile from the liver and gallbladder to the intestine, resulting in a range of health issues if not properly managed.

Causes & Symptoms

Clinical Causes: Formation of gallstones due to imbalances in the substances that make up bile, such as cholesterol or bilirubin. Infections or inflammation within the bile ducts. Obstruction caused by larger gallstones that cannot pass through the bile duct easily. Scar tissue from previous surgeries or injuries affecting the bile ducts. Underlying medical conditions like biliary duct strictures or tumors.

Key Symptoms: Pain in the upper right abdomen or the center of the abdomen, which may become severe. Jaundice, characterized by yellowing of the skin and eyes. Fever and chills, indicating possible infection. Nausea and vomiting. Dark urine and pale stool. Persistent fatigue and general discomfort.

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of medical history assessment and diagnostic tests, including:

Treatment Protocols: Treatment for calculus of the bile duct with chronic cholangitis and obstruction aims to remove gallstones, alleviate inflammation, and ensure bile flow. Options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is K80.35 a billable ICD-10 code?
Yes, K80.35 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K80.35?
Clinical documentation must specify the nature of Calculus of bile duct with chronic cholangitis with obstruction and any associated comorbidities for accurate reporting.

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