ICD-10-CM Billable Code

K80.11

Calculus of gallbladder with chronic cholecystitis with obstruction

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code K80.11 refers to a condition where gallstones (calculi) are present in the gallbladder, leading to chronic inflammation called cholecystitis, along with an obstruction. This condition can cause persistent pain and complications if left untreated. Understanding this condition helps in recognizing symptoms and seeking appropriate medical care.

Causes & Symptoms

Clinical Causes: Accumulation of cholesterol, bilirubin, or calcium salts forming stones in the gallbladder. Imbalance in the substances that make up bile, leading to stone formation. Inflammation of the gallbladder, often due to gallstones blocking the cystic duct. Risk factors such as obesity, certain diets, rapid weight loss, pregnancy, and genetics.

Key Symptoms: Severe pain in the upper right abdomen or center of the abdomen, which may radiate to the back or shoulder. Nausea and vomiting. Fatty food intolerance or indigestion after eating. Fever or chills, indicating possible infection. Jaundice (yellowing of the skin and eyes) if bile flow is blocked. Bloating and abdominal tenderness.

Diagnostic & Treatment

Diagnosis Path: Diagnosing this condition typically involves a combination of medical history, physical examination, and imaging studies. Common diagnostic procedures include:

Treatment Protocols: Treatment options usually involve medical management and possibly surgery. The primary goals are to relieve symptoms, remove gallstones, and address any inflammation or obstruction. Treatments 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 K80.11 a billable ICD-10 code?
Yes, K80.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K80.11?
Clinical documentation must specify the nature of Calculus of gallbladder with chronic cholecystitis with obstruction and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

calculus chronic cholecystitis gallbladder obstruction