2025 ICD-10-CM code K83.09
(Active) Effective Date: N/A Revision Date: N/A Diseases of the digestive system - Other cholangitis Diseases of the digestive system Feed
Other cholangitis refers to inflammation of the bile ducts not specified elsewhere.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided.For example, modifiers could indicate the location of service, or the type of service rendered (e.g., professional versus technical component).Consult the latest official coding guidelines for specific modifier application rules.
Medical necessity for the diagnosis and treatment of cholangitis is established by the presence of clinical symptoms and/or diagnostic findings that confirm biliary duct inflammation.The severity of the inflammation dictates the level of medical intervention required, which may range from conservative management to surgical intervention. The documentation must support the medical necessity of the diagnosis and treatment.
The clinical responsibility for coding K83.09 rests with the physician or qualified healthcare professional who diagnoses and manages the patient's cholangitis. This involves a thorough history and physical examination, along with appropriate diagnostic testing (e.g., imaging studies, liver function tests) to establish the diagnosis and determine the extent of the inflammation. Treatment may include antibiotics, supportive care, and in some cases, endoscopic procedures.
In simple words: Other cholangitis means swelling and irritation of the bile ducts in your liver that aren't caused by gallstones or other specific reasons.The bile ducts carry bile from your liver to your small intestine.
K83.09, Other cholangitis, encompasses inflammation of the bile ducts that doesn't fit into other, more specific categories of cholangitis.This includes conditions like ascending cholangitis, primary cholangitis, recurrent cholangitis, sclerosing cholangitis, secondary cholangitis, stenosing cholangitis, and suppurative cholangitis.It excludes cholangitic liver abscess (K75.0), cholangitis with choledocholithiasis (K80.3-, K80.4-), chronic nonsuppurative destructive cholangitis (K74.3), primary biliary cholangitis (K74.3), and primary biliary cirrhosis (K74.3).
Example 1: A 65-year-old male presents with fever, right upper quadrant pain, and jaundice. Imaging reveals inflammation of the bile ducts without gallstones. The physician diagnoses other cholangitis (K83.09)., A 40-year-old female with a history of autoimmune disease experiences recurrent episodes of cholangitis.Laboratory tests and imaging confirm inflammation of the bile ducts without gallstones, leading to a diagnosis of other cholangitis (K83.09)., A 72-year-old male is admitted to the hospital with septic shock secondary to severe cholangitis. Imaging reveals extensive inflammation of the bile ducts with evidence of infection.The physician diagnoses other cholangitis (K83.09) due to the severity and complexity of the presentation.
Detailed history and physical examination, including symptoms (e.g., fever, jaundice, abdominal pain), risk factors, and relevant medical history.Results of laboratory tests (e.g., liver function tests, complete blood count).Imaging studies (e.g., ultrasound, CT scan, MRI) to demonstrate biliary duct inflammation.Documentation of treatment provided.
** The clinical picture of cholangitis can vary, ranging from mild to life-threatening.Accurate coding depends on precise documentation that reflects the severity and complexity of the patient's condition.
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- Specialties:Gastroenterology, Hepatology, Infectious Disease
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