Do you know ICD 9 code for Cholelithiasis?

ICD 9 code for Cholelithiasis
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Radiology coding has all types of charts from x-rays, Ultrasound, CT, MRI, Nuclear Medicine etc, to code. Ultrasound procedures are the most commonly found charts in radiology. Mainly whenever there is pain in abdomen physicians prefers to go for Ultrasound. Abdomen ultrasound is done either limited or complete. Complete ultrasound (76700) includes all eight organs which include gallbladder, liver, spleen, pancreas, 2 kidneys, aorta, inferior vena cava and common bile duct.
Limited Ultrasound (76705) is done when physicians are check only single organ or single quadrant. Abdomen is divided is into four quadrant. Now, Right upper quadrant of abdomen includes gallbladder which has been studied mainly when the patient is having right upper quadrant pain. The main diagnosis for gallbladder includes cholelithiasis or cholecystitis. Hence, the icd 9 code for cholelithiasis is mostly used during coding such charts. Cholelithiasis is presence of calculi in gallbladder which is also called as gallstones.

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How to search icd 9 code for cholelithiasis?

Gallstones can cause obstruction in the gallbladder. Cholecystitis may be acute or chronic, which generally cause inflammation of gallbladder. While coding icd 9 codes for cholelithiasis one has to check the presence of cholecystitis has well, since there are some combination codes for both in icd 9 code book. Now let’s check the icd 9 codes for these diagnoses.

· 574.00, Calculus of gallbladder with acute cholecystitis; without mention of obstruction
· 574.10, Calculus of gallbladder with other cholecystitis; without mention of obstruction
· 574.20, Calculus of gallbladder without mention of cholecystitis; without mention of obstruction
· 574.30, Calculus of bile duct with acute cholecystitis; without mention of obstruction
· 574.40, Calculus of bile duct with (chronic) cholecystitis; without mention of obstruction
· 574.60, Calculus of gallbladder and bile duct with acute cholecystitis; without mention of obstruction 

Combinations codes with icd 9 code for cholelithiasis.

As you see above the icd 9 code only for cholelithiasis is 574.20, without any obstruction and cholecystitis. All other icd 9 codes are having a combination of obstruction or cholecystitis with cholelithiasis. Hence, medical coders should be more careful with searching a code since most of the times coders land up coding individual code for cholelithiasis (574.20) and cholecystitis unspecified (575.10) which is not correct, since we have a combination code for these diagnosis (574.00 & 574.01). Same this goes with the calculus of bile duct which has combination code with icd 9 code for cholelithiasis and with cholecystitis (574.30, 574.40, 574.60).

Now, again when there is presence of cholelithiasis, calculus in bile duct and cholecystitis in the report, one should not code them individually since we have combination code for them (574.60).

Now, the main symptoms causing this diagnosis are generally pain in right upper quadrant of abdomen (789.01). The pain is generally followed by the nausea and vomiting (787.01) which can lead to cholecystitis and cholelithiasis. Hence when the patient comes with pain, nausea and vomiting physicians tried to look for gallstones and cholecystitis in the pathology report.

When we have such diagnosis confirmed one has to go for some surgical procedures which can treat these disorders. Now to include some of them is listed below,
· 47562, laparoscopy, surgical; cholecystectomy
· 47563, laparoscopy, surgical; cholecystectomy with cholangiography
· 47564, laparoscopy, surgical; cholecystectomy with exploration of common duct
· 47570, laparoscopy, surgical; cholecystoenterostomy
· 47579, unlisted laparoscopy procedure, biliary tract
These laparascopy surgical procedures are done mainly with cholecystectomy to remove the gallbladder. Removal of gallbladder can treat many of the disorder especially the neoplasm.
Hence, these procedures are one the best one to treat the gallbladder diseases.
Hope, this article helps you how to code icd 9 code for cholelithiasis & cholecystitis and their treatment procedures. Please feel free to comment if you have any questions or suggestion.
Thanks you.

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2 comments

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5 December 2014 at 08:17 delete

gallbladder inflammation where stones are not present, the first episode is often treated with antibiotics.

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18 January 2015 at 04:54 delete

yes for first episode antibiotics are used....thanks for visiting and commenting on my article on icd 9 code for cholelithiasis

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