K80.5
K80.5 — Calculus of bile duct without cholangitis or cholecystitis
Non-billable headerICD-10-CM
K80.5 is a non-billable header ICD-10-CM code for calculus of bile duct without cholangitis or cholecystitis. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Choledocholithiasis (without cholangitis or cholecystitis)
- Gallstone (impacted) of bile duct NOS (without cholangitis or cholecystitis)
- Gallstone (impacted) of common duct (without cholangitis or cholecystitis)
- Gallstone (impacted) of hepatic duct (without cholangitis or cholecystitis)
- Hepatic cholelithiasis (without cholangitis or cholecystitis)
- Hepatic colic (recurrent) (without cholangitis or cholecystitis)
Risk adjustment
K80.5 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 K80.5
2 child codes. Green means billable.
Related codes at this level
Codes that share K80. If K80.5 is not quite right, the correct code is usually one of these.
- 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
- K80.6Calculus of gallbladder and bile duct with cholecystitis
- K80.7Calculus of gallbladder and bile duct without cholecystitis
- K80.8Other cholelithiasis
Questions about K80.5
- Is K80.5 a billable ICD-10-CM code?
- No. K80.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does K80.5 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Disorders of gallbladder, biliary tract and pancreas (K80-K87).