Is K80.13 a billable ICD-10-CM code?

Yes. K80.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K80.13 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).

K80.13

K80.13 — Calculus of gallbladder with acute and chronic cholecystitis with obstruction

Billable / specific codeICD-10-CM

K80.13 is a billable, specific ICD-10-CM code for calculus of gallbladder with acute and chronic cholecystitis with obstruction. It is valid for submission on a claim.

Risk adjustment

K80.13 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.

Medicare coverage

K80.13 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A55336Billing and Coding: Retroperitoneal Ultrasound
A56421Billing and Coding: CT of the Abdomen and Pelvis
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)

How K80.13 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K80.13.

Cholecystitis›chronic›with acute cholecystitis›with gallbladder calculus›with obstruction
Cholecystitis›acute›with›chronic cholecystitis›with gallbladder calculus›with obstruction
Calculus, calculi, calculous›gallbladder›with›cholecystitis›acute›with›chronic cholecystitis›with obstruction
Calculus, calculi, calculous›gallbladder›with›cholecystitis›chronic›with›acute cholecystitis›with obstruction

Related codes at this level

Codes that share K80.1. If K80.13 is not quite right, the correct code is usually one of these.

Questions about K80.13

Is K80.13 a billable ICD-10-CM code?: Yes. K80.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K80.13 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).