2025 ICD-10-CM code K80
Cholelithiasis. Presence or formation of gallstones in the biliary tract, usually in the gallbladder (cholecystolithiasis) or the common bile duct (choledocholithiasis).
Medical necessity for interventions related to cholelithiasis (K80) is determined by the presence of symptoms, complications (e.g., cholecystitis, cholangitis, pancreatitis), or the risk of developing such complications. Asymptomatic cholelithiasis usually does not require intervention unless specific risk factors are present.
Diagnosis and management of cholelithiasis typically falls under gastroenterologists, general surgeons, or primary care physicians. Responsibilities include evaluating patient symptoms, ordering diagnostic tests (ultrasound, CT scans), and determining appropriate treatment strategies, which may range from watchful waiting to surgical interventions like cholecystectomy.
- XI Diseases of the digestive system (K00-K95)
- Disorders of gallbladder, biliary tract and pancreas (K80-K87)
In simple words: Gallstones are formed from hardened deposits of digestive fluids that can develop in your gallbladder, a small organ located under your liver.
Presence or formation of gallstones in the gallbladder.This condition involves the presence or development of gallstones, typically within the gallbladder (cholecystolithiasis) or the common bile duct (choledocholithiasis).
Example 1: A 45-year-old female patient presents with right upper quadrant pain, nausea, and vomiting after eating a fatty meal. An abdominal ultrasound reveals the presence of gallstones in the gallbladder, confirming a diagnosis of cholelithiasis (K80)., A patient with a history of cholelithiasis (K80) develops fever, chills, and jaundice. Further imaging shows a gallstone lodged in the common bile duct, leading to a diagnosis of acute cholangitis, a serious complication., During a routine abdominal ultrasound, a 60-year-old male patient is found to have asymptomatic gallstones. Since the patient is experiencing no symptoms, a diagnosis of asymptomatic cholelithiasis (K80) is made, and a watchful waiting approach is adopted.
Documentation for K80 should include the location and size of gallstones, presence or absence of cholecystitis or other complications, associated symptoms, and diagnostic test results (e.g., ultrasound, CT scan findings). Medical history, including any previous episodes of biliary colic or pancreatitis, should also be documented.
** Excludes1: retained cholelithiasis following cholecystectomy (K91.86)
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery, Primary Care Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital,Ambulatory Surgical Center, Office, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home