ICD Code K80.00

ICD code K80.00 is used to identify a medical condition where there is a presence of gallstones in the gallbladder, accompanied by acute inflammation of the gallbladder (cholecystitis), but without any blockage or obstruction in the bile ducts. This code is crucial for healthcare providers to accurately document and bill for the diagnosis and treatment of this specific condition, ensuring proper reimbursement and facilitating effective patient care management.

1. Presence of Gallstones: Confirmed diagnosis of gallstones located in the gallbladder through imaging studies such as an ultrasound or CT scan.

2. Acute Cholecystitis Symptoms: The patient exhibits symptoms indicative of acute cholecystitis, including:

• Severe pain in the upper right abdomen or center of the abdomen.
• Pain that may radiate to the right shoulder or back.
• Tenderness over the abdomen when touched.
• Nausea and vomiting.
• Fever, often accompanied by chills.

3. Laboratory Findings: Blood tests may show elevated white blood cell count, indicating inflammation or infection, and abnormal liver function tests.

4. Absence of Obstruction: Imaging studies or clinical evaluation confirm that there is no obstruction of the bile duct, which differentiates this condition from other forms of cholecystitis with obstruction.

5. Exclusion of Other Conditions: Rule out other potential causes of abdominal pain and symptoms, such as pancreatitis, peptic ulcer disease, or other gastrointestinal disorders.

6. Clinical Evaluation: A thorough clinical evaluation by a healthcare provider supports the diagnosis of acute cholecystitis without obstruction, based on the combination of symptoms, imaging, and laboratory findings.

For the ICD code K80.00, which pertains to calculus of gallbladder with acute cholecystitis without obstruction, the relevant CPT codes that may be applicable include:

1. 47562 - Laparoscopy, surgical; cholecystectomy.

2. 47563 - Laparoscopy, surgical; cholecystectomy with cholangiography.

3. 47564 - Laparoscopy, surgical; cholecystectomy with exploration of common duct.

4. 47600 - Cholecystectomy.

5. 47605 - Cholecystectomy with cholangiography.

6. 47610 - Cholecystectomy with exploration of common duct.

These CPT codes represent various surgical procedures related to the treatment of gallbladder conditions, including cholecystectomy and related procedures. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

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