K80Not billable, use a more specific code below

Cholelithiasis

In Disorders of gallbladder, biliary tract and pancreas (K80-K87), chapter 11: Diseases of the Digestive System

40 billable codes under K80: 1 is an MCC, 35 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Advertisements

Instructional notes

Excludes1: not coded here, use a different code

  • retained cholelithiasis following cholecystectomy (K91.86)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.

Read Section I.C.11 (page 58)

All codes under K80

K80 can't be used on a claim. Pick a billable code below; grey headings group them.

K80 MS-DRGs

As the principal diagnosis, all 40 billable codes under K80 group to MS-DRG 444, 445, or 446 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to K80

Notes on these codes point to K80.

  • D57.09 Use Additional Code: cholelithiasis (K80.-)
  • D57.218 Use Additional Code: cholelithiasis (K80.-)
  • D57.418 Use Additional Code: cholelithiasis (K80.-)
  • D57.438 Use Additional Code: cholelithiasis (K80.-)
  • D57.458 Use Additional Code: cholelithiasis (K80.-)
  • D57.818 Use Additional Code: cholelithiasis (K80.-)
  • K81 Excludes1: cholecystitis with cholelithiasis (K80.-)
  • K82.0 Excludes1: obstruction of gallbladder with cholelithiasis (K80.-)
  • K82.4 Excludes1: cholesterolosis of gallbladder with cholelithiasis (K80.-)
  • K83.1 Excludes1: obstruction of bile duct with cholelithiasis (K80.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Gallstones

Your gallbladder is a pear-shaped organ under your liver. It stores bile, a fluid made by your liver to digest fat. As your stomach and intestines digest food, your gallbladder releases bile through a tube called the common bile duct. The duct connects your gallbladder and liver to your small intestine.

Read more about gallstones on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.