Cholelithiasis ICD-10-CM Codes
Read this short guide and learn about cholelithiasis ICD codes you can use.
Fact Checked by Ericka Pingol.
What cholelithiasis ICD codes can I use?
If you're searching for cholelithiasis ICD codes, several options are available, although most of them don't explicitly mention it in their names. Instead, they commonly refer to "Calculus of gallbladder," another term for cholelith. Here are some relevant ICD-10 codes associated with cholelithiasis that you can consider:
- K80.00 - Calculus of gallbladder with acute cholecystitis without obstruction
This ICD-10 code is meant to be used on a patient confirmed to have gallbladder calculus, also known as choleliths or gallstones. These are made up of bile components. In the context of this ICD-10 code, the patient also has acute cholecystitis, meaning they have an inflammation in the gallbladder due to bile build-up. There’s also nothing obstructing the gallbladder, so the gallstones are not causing any obstruction.
- K80.01 - Calculus of gallbladder with acute cholecystitis with obstruction
This is the same as Item 1, but this time, there is an obstruction in the gallbladder.
- K80.10 - Calculus of gallbladder with chronic cholecystitis without obstruction
This is the same as Item 1, but this time, the cholecystitis is chronic, not acute. This means that the swelling/inflammation of the gallbladder continues over time. There are no obstructions, though.
- K80.19 - Calculus of gallbladder with other cholecystitis with obstruction
This is the same as Item 1, but this time, the cholecystitis is chronic, not acute, and there are obstructions.
- K80.20 - Calculus of gallbladder without cholecystitis without obstruction
This is the same as Item 1, but this time, there is not cholecystitis and there are no obstructions.
- K80.80 - Other cholelithiasis without obstruction
This ICD-10 code is meant to be used on a patient confirmed to have a different kind of cholelithiasis. One possible reason why you’d choose this is that the cholelithiasis isn’t in the gallbladder (where it is common), but it is in the common bile duct instead. There’s also no obstruction.
- K80.81 - Other cholelithiasis with obstruction
This is the same as Item 6, but this time, there’s an obstruction.
- K91.86 - Retained cholelithiasis following cholecystectomy
This ICD-10 code is meant to be used on a patient who underwent cholecystectomy (the removal of the gallbladder), but it was confirmed that there are still gallstones present.
Are these cholelithiasis ICD codes billable?
Yes. All of the aforementioned cholelithiasis-related ICD-10 codes are valid and billable.
Clinical information about cholelithiasis:
As previously mentioned, cholelithiasis refers to forming pebble-shaped bile components that fuse. These formations typically consist of cholesterol and bilirubin, gradually increasing in size and hardness over time. While gallstones are usually harmless, there are instances when they can pose problems, specifically when they obstruct the gallbladder or impede the passage of bile in surrounding areas such as the liver.
If left untreated, these blockages can lead to inflammation of certain organs, resulting in conditions such as gallbladder and liver disease, cholangitis, and gallstone pancreatitis.
An inflamed gallbladder manifests with distinct symptoms, including persistent pain in the gallbladder area, elevated heart rate, and susceptibility to fevers and chills. Furthermore, due to bile accumulation caused by the blockages, patients may experience jaundice (yellowing of the eyes and skin) and darker urine color.
Synonyms include:
- Calculus of gallbladder with acute cholecystitis
- Cholelithiasis AND cholecystitis without obstruction
- Cholelithiasis without obstruction
- Gallbladder calculus with acute cholecystitis and no obstruction
- Cholecystolithiasis with obstruction
- Cholelithiasis AND cholecystitis with obstruction
- Gallbladder calculus with acute cholecystitis and obstruction
- Obstruction of gallbladder
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Commonly asked questions
Yes, but we don’t recommend that you use those. It’s best to use the ones we listed since they are valid and billable.
Healthcare professionals will conduct blood tests to check for inflammation and infections. They will also conduct imaging tests to locate the gallstones and points of blockage. These imaging tests include ultrasound and MRCP.
ERCP is another option, and this might be the best choice because it can also allow healthcare professionals to remove the stones while conducting the test.
Normally, you don’t need treatment for gallstones. You only need to when there are blockages. If the gallstones are in the gallbladder, then gallbladder removal is necessary to remove the gallstones.
