K83.4

K83.4: Spasm of sphincter of Oddi

Billable / specific codeICD-10-CM

K83.4 is a billable, specific ICD-10-CM code for spasm of sphincter of oddi. It is valid for submission on a claim.

Check K83.4 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above K83.4

A category’s note binds every code beneath it.

Written on K83: Other diseases of biliary tract

postcholecystectomy syndrome (K91.5)

Excludes2 inherited from the categories above K83.4

Not part of this code, but both may be coded when both are present.

Written on K83: Other diseases of biliary tract

conditions involving the gallbladder (K81-K82)
conditions involving the cystic duct (K81-K82)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K83.4 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56421Billing and Coding: CT of the Abdomen and Pelvis
A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
A57484Billing and Coding: Vitamin D Assay Testing

Alphabetic index entries that lead here

Oddi's sphincter spasm
Spasm, spastic, spasticity›ampulla of Vater
Spasm, spastic, spasticity›sphincter of Oddi

Code history

Unchanged in every release from FY2024 to FY2027.