K80.20 Calculus of gallbladder without cholecystitis without obstruction

ICD10CM code

#### Name of the Condition
- Calculus of Gallbladder Without Cholecystitis Without Obstruction
- Often referred to as "Gallstones without inflammation or blockage."

#### Summary
Calculus of the gallbladder without cholecystitis or obstruction refers to the presence of gallstones in the gallbladder, which do not cause inflammation of the gallbladder lining (cholecystitis) or block the flow of bile. This condition can be asymptomatic and is generally identified incidentally during imaging studies for other reasons.

#### Causes
- Gallstones form primarily due to imbalances in the substances that make up bile.
- Common causes include high cholesterol levels in bile, excessive bilirubin, and gallbladder concentration issues.

#### Risk Factors
- Being female, particularly during reproductive years.
- Obesity or rapid weight loss.
- Family history of gallstones.
- High-fat diet.
- Certain medical conditions, such as diabetes or cirrhosis.

#### Symptoms
- Often asymptomatic.
- When symptoms occur, they may include mild pain in the upper right abdomen, discomfort following meals, nausea, and bloating.

#### Diagnosis
- Typically diagnosed through imaging techniques such as abdominal ultrasound or CT scans to visualize gallstones.
- Evaluation of patient history and physical examinations also contribute to diagnosis.

#### Treatment Options
- Watchful waiting if gallstones are not causing symptoms.
- Dietary modifications to manage cholesterol levels.
- Medications that dissolve gallstones in certain cases.
- Surgical removal (cholecystectomy) might be considered if there’s risk for future complications.

#### Prognosis and Follow-Up
- Asymptomatic gallstones can remain stable without affecting health.
- Regular check-ups are recommended to monitor condition and manage any changes or symptoms.

#### Complications
- Although risk is lower without obstruction, untreated gallstones can potentially lead to acute cholecystitis, pancreatitis, or bile duct blockage.

#### Lifestyle & Prevention
- Maintain a healthy weight and balanced diet to lower the risk.
- Regular physical activity.
- Avoid rapid weight loss programs.

#### When to Seek Professional Help
- Seek immediate medical attention if experiencing severe abdominal pain, jaundice, fever, or persistent nausea and vomiting.

#### Additional Resources
- American College of Gastroenterology (ACG)
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

#### Tips for Medical Coders
- Ensure accurate documentation distinguishing the absence of cholecystitis and obstruction.
- Avoid confusion with codes for symptomatic gallstones or complications like cholecystitis.

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