K82.2
Perforation of gallbladder
Clinical Classification Guidelines
Inclusion Terms
- Rupture of cystic duct or gallbladder
Excludes Type 1
- Perforation of gallbladder in cholecystitis (K82.A2)
Medical Intelligence & Overview
Perforation of the gallbladder, classified under ICD-10 code K82.2, is a serious medical condition involving a rupture in the gallbladder wall. This rupture can lead to leakage of bile into the abdominal cavity, causing inflammation and potential complications such as infections or peritonitis. The condition often results from gallstones obstructing the gallbladder, leading to increased pressure, inflammation, and eventual rupture. Recognizing the signs and understanding the causes of this condition are crucial for early intervention and management.
Causes & Symptoms
Clinical Causes: Gallstones blocking the cystic duct, leading to increased pressure and inflammation Severe cholecystitis (inflammation of the gallbladder) Trauma or injury to the abdomen Infections affecting the gallbladder tissue Ischemia or compromised blood flow to the gallbladder Erosive processes from other abdominal conditions
Key Symptoms: Sudden and severe right upper abdominal pain Pain that may radiate to the right shoulder or back Fever and chills indicating infection Nausea and vomiting Abdominal tenderness and rigidity Signs of sepsis in severe cases, such as low blood pressure and rapid heartbeat Feeling of general unwellness or malaise
Diagnostic & Treatment
Diagnosis Path: Physical examination to assess tenderness and signs of infection Laboratory tests, including blood work to detect signs of infection or inflammation Ultrasound imaging to view the gallbladder and identify stones or fluid collections Computed tomography (CT) scan to better visualize perforation and complications Diagnostic peritoneal lavage or exploratory surgery in uncertain cases
Treatment Protocols: Emergency surgery to remove the gallbladder (cholecystectomy) and clean the abdominal cavity Drainage of any abscess or fluid collections caused by perforation Administration of antibiotics to treat or prevent infection Supportive care such as IV fluids, pain management, and monitoring in a hospital setting Post-operative care to ensure recovery and prevent recurrence
Clinical Advice & FAQs
Billing Guidance
Is K82.2 a billable ICD-10 code?
Yes, K82.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K82.2?
Clinical documentation must specify the nature of Perforation of gallbladder and any associated comorbidities for accurate reporting.
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