ICD Code K80.20

ICD code K80.20 is a medical classification used to identify the presence of gallstones in the gallbladder without any accompanying inflammation (cholecystitis) or blockage (obstruction) of the bile ducts. This code is utilized by healthcare providers to document and communicate this specific condition for billing, treatment planning, and statistical purposes.

1. Presence of Gallstones: Confirm the presence of gallstones within the gallbladder through imaging studies such as an ultrasound or CT scan. The stones should be visible without any signs of inflammation or infection.

2. Absence of Cholecystitis: Ensure there are no clinical signs or symptoms of cholecystitis, which include fever, elevated white blood cell count, or right upper quadrant tenderness. The gallbladder should not show any signs of inflammation on imaging.

3. No Biliary Obstruction: Verify that there is no evidence of biliary obstruction. This includes the absence of jaundice, normal liver function tests, and no dilation of the bile ducts on imaging studies.

4. Asymptomatic or Mild Symptoms: The patient may be asymptomatic or present with mild, non-specific symptoms such as occasional abdominal discomfort or bloating. There should be no severe pain or complications associated with the gallstones.

5. Routine Check or Incidental Finding: The diagnosis may often be made during a routine check-up or as an incidental finding during imaging for another condition, without any acute symptoms prompting the investigation.

By adhering to these criteria, healthcare providers can accurately document and code the condition using the appropriate ICD code, ensuring precise medical records and facilitating effective revenue cycle management.

For the ICD code K80.20, 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 without cholangiography.

5. 47605 - Cholecystectomy with cholangiography.

6. 47610 - Cholecystectomy with exploration of common duct.

These CPT codes are typically used for procedures related to the treatment of gallbladder calculi as indicated by the ICD code K80.20. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

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