JENNIFER Posted Tue 06th of February, 2018 14:47:27 PM
I NEED CLARIFICATION ON WHAT THE ICD 10 CODE SHOULD BE IN A CASE WHERE THE PT HAS A LAP CHOLECYSTECTOMY. THE PATIENT PRIOR TO SURGERY HAD AN ERCP AND STONES REMOVED FROM BILE DUCT. THE DX ON THE OP REPORT STATES CHRONIC CHOLECYSTITIS, CHOLEDOCHOLITHIASIS. I AM WONDERING THE CORRECT DX FOR THE SURGERY POST ERCP AND THE STONES ALREADY REMOVED. SHOULD IT BE K80.10?
SuperCoder Answered Wed 07th of February, 2018 01:55:10 AM
The appropriate code ICD for chronic cholecystitis with choledocholithiasis is K80.44 (Calculus of bile duct with chronic cholecystitis without obstruction). ICD K80.10 is used for if calculus is in gallbladder with chronic cholecystitis without obstruction.
If stone already removed then check the body of report for which purpose physician is performing the procedure and code accordingly.
JENNIFER Posted Wed 07th of February, 2018 11:20:13 AM
I guess my question really is I'm wondering since the stone was removed before surgery, would that be considered a resolved issue and so you would not code the choledocholithiasis at all just the cholelithiasis and chronic cholecystitis since the stone was not there at the time of surgery even though that is why she was admitted?? Please clarify
SuperCoder Answered Thu 08th of February, 2018 01:57:21 AM
Yes, if stone is removed before surgery than it will be considered as resolved issue and so you would not code the choledocholithiasis. You should add code for personal history of choledocholithiasis i.e. Z87.19.