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BETA v.3.0

2025 ICD-10-CM code K80.3

Calculus of bile duct with cholangitis.

Use additional codes to specify the type of cholangitis (acute, chronic, or acute and chronic) if documented.

The medical necessity for treatment of calculus of bile duct with cholangitis is established by the presence of symptoms and evidence of biliary obstruction and infection, impacting the patient's health and requiring intervention.

Diagnosis and management of calculus of bile duct with cholangitis which may include endoscopic or surgical interventions.Managing the associated infection and inflammation is also a key clinical responsibility.

In simple words: Gallstones in the bile duct with infection and inflammation.

Presence of gallstones within the bile duct accompanied by inflammation and infection of the bile ducts (cholangitis).

Example 1: A patient presents with right upper quadrant pain, fever, and jaundice. Imaging reveals gallstones in the bile duct and laboratory tests indicate elevated liver enzymes and bilirubin consistent with cholangitis., A patient with a history of gallstones develops fever, chills, and abdominal pain after a fatty meal.An ERCP reveals a stone lodged in the common bile duct causing cholangitis., During a laparoscopic cholecystectomy, the surgeon discovers a stone in the common bile duct, which is removed, and the patient is diagnosed with cholangitis.

Documentation should include evidence of gallstones in the bile duct, signs and symptoms of cholangitis (e.g., fever, jaundice, abdominal pain), laboratory findings (e.g., elevated liver enzymes and bilirubin), imaging results (e.g., ultrasound, CT scan, ERCP), and treatment provided.

** Excludes1: retained cholelithiasis following cholecystectomy (K91.86)

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