K80
K80 — Cholelithiasis
Non-billable headerICD-10-CM
K80 is a non-billable header ICD-10-CM code for cholelithiasis. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- retained cholelithiasis following cholecystectomy (K91.86)
Other codes that can never be billed with K80
These codes carry an Excludes1 note pointing at K80. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K80 alone.
Risk adjustment
K80 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead K80
9 child codes. Green means billable.
- K80.0Calculus of gallbladder with acute cholecystitis
- K80.1Calculus of gallbladder with other cholecystitis
- K80.2Calculus of gallbladder without cholecystitis
- K80.3Calculus of bile duct with cholangitis
- K80.4Calculus of bile duct with cholecystitis
- K80.5Calculus of bile duct without cholangitis or cholecystitis
- K80.6Calculus of gallbladder and bile duct with cholecystitis
- K80.7Calculus of gallbladder and bile duct without cholecystitis
- K80.8Other cholelithiasis
Questions about K80
- Is K80 a billable ICD-10-CM code?
- No. K80 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does K80 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).
- What cannot be coded together with K80?
- K80 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.