In simple words: This code indicates gallstones and gallbladder inflammation.

Calculus of gallbladder with acute cholecystitis.This diagnosis represents the presence of gallstones (cholelithiasis) in the gallbladder accompanied by acute inflammation of the gallbladder (cholecystitis).

Example 1: A 50-year-old female patient presents to the emergency room with severe right upper quadrant abdominal pain, nausea, and vomiting.An ultrasound reveals gallstones and gallbladder wall thickening, consistent with acute cholecystitis. The patient is admitted for pain management, intravenous fluids, and antibiotics, and undergoes a laparoscopic cholecystectomy., A 65-year-old male with a history of gallstones experiences a sudden onset of fever, chills, and right upper quadrant pain. Blood tests reveal elevated white blood cell count and liver enzymes. A CT scan confirms acute cholecystitis.The patient is treated with antibiotics and undergoes percutaneous drainage of the gallbladder, followed by elective cholecystectomy once the infection subsides., A 40-year-old female with known gallstones has recurrent episodes of biliary colic (abdominal pain).She opts for elective laparoscopic cholecystectomy to prevent future complications.

Documentation should include details of the patient's symptoms (pain, nausea, vomiting, fever), physical examination findings (abdominal tenderness), imaging results (ultrasound, CT scan) confirming the presence of gallstones and gallbladder inflammation, and laboratory results (white blood cell count, liver function tests) indicating infection or inflammation.