Cholelithiasis help

[jwiles66]

What dx codes would you use for a patient who has documented cholelithiasis with acute cholecystitis and chronic cholecystitis. Need some clarification.. Thanks

 

[lace659]

Since there isn't a combined code for acute and chronic together, you need to code both the acute code and chronic code (574.0x, 574.1x - 5th digit of 0 w/o mention of obstruction or 1 w/obstruction).

 

[jwiles66]

Ok thats what i used. I wanted clarification because another coder used 574.20, 575.0, 575.11 for the exact same senario. That is not correct is it?

 

[greatbiller]

574.20 cannot be used for cholecystitis. Description of 574.20 states cholelithiasis without mention of cholecystitis.

 

[mgarcia@delanosurgical.com]

I usually go with 574.0X and 575.11 I haven't been rejected with that combo, but I've also used the 574.0x and 574.1x together and I don't remember being rejected for that either.

 

[skthandal@gmail.com]

What dx codes would you use for a patient who has documented cholelithiasis with acute cholecystitis and chronic cholecystitis. Need some clarification.. Thanks

Code 574.8 looks fit for this dx. With obstruction 574.81 and without obstruction 574.80. Thanks

 

[Kim Sanner]

Agree with using 574.0X and 574.1X. Would not use 574.8X, as this is for gallbladder and bile duct.