K91.86
K91.86: Retained cholelithiasis following cholecystectomy
Billable / specific codeICD-10-CM
K91.86 is a billable, specific ICD-10-CM code for retained cholelithiasis following cholecystectomy. It is valid for submission on a claim.
Check K91.86 with the rest of the claim: free scrubberExcludes2 inherited from the categories above K91.86
Not part of this code, but both may be coded when both are present.
Written on K91: Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified
Other codes that can never be billed with K91.86
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K80Cholelithiasis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K91.86 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
- A56775Billing and Coding: Magnetic Resonance Angiography
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Alphabetic index entries that lead here
- Retained›cholelithiasis following cholecystectomy
- Retained›gallstones, following cholecystectomy
- Retention›cholelithiasis following cholecystectomy
- Retention›gallstones, following cholecystectomy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under K91.8
- K91.81Other intraoperative complications of digestive system
- K91.82Postprocedural hepatic failure
- K91.83Postprocedural hepatorenal syndrome
- K91.84Postprocedural hemorrhage of a digestive system organ or structure following a procedure
- K91.85Complications of intestinal pouch
- K91.87Postprocedural hematoma and seroma of a digestive system organ or structure following a procedure
- K91.89Other postprocedural complications and disorders of digestive system