2025 ICD-10-CM code K83.1
Obstruction of bile duct. This encompasses occlusion, stenosis, or stricture of the bile duct without the presence of gallstones.
Medical necessity for interventions related to K83.1 is established by the presence of biliary obstruction causing symptoms or complications, as demonstrated by imaging and clinical findings. The specific intervention chosen (e.g., ERCP, surgery) should be justified based on the cause and severity of the obstruction.
Diagnosis and management of biliary obstruction, which may involve gastroenterologists, surgeons, and other specialists depending on the cause and severity of the obstruction.
- Diseases of the digestive system (K00-K95)
- Disorders of gallbladder, biliary tract and pancreas (K80-K87)
In simple words: Blockage of the bile duct, not caused by gallstones.
Obstruction of bile duct without cholelithiasis. This includes occlusion, stenosis, or stricture of the bile duct in the absence of gallstones.
Example 1: A patient presents with jaundice, abdominal pain, and dark urine. Imaging reveals a narrowing of the bile duct due to inflammation, but no gallstones are present. K83.1 is used to code the biliary obstruction., Following abdominal surgery, a patient develops symptoms consistent with biliary obstruction. Diagnostic tests confirm a stricture of the bile duct, unrelated to gallstones, and K83.1 is applied., A patient with a history of pancreatic cancer experiences jaundice and itching. Imaging shows compression of the bile duct by the tumor, obstructing bile flow. K83.1 is used to code the obstruction.
Documentation should include imaging studies (such as ultrasound, CT, or MRCP) confirming the obstruction and ruling out cholelithiasis, along with clinical findings supporting the diagnosis.
- Payment Status: Active
- Specialties:Gastroenterology, Surgery, Oncology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Ambulatory Surgical Center