Calculus of GB and bile duct w ac and chr cholecyst w obst

This code signifies the presence of gallstones in both the gallbladder and the common bile duct, accompanied by inflammation of the gallbladder that is both acute and chronic, and an obstruction of the bile flow. This complex condition indicates a severe and long-standing issue with the biliary system.

This code is appropriate when documentation clearly indicates cholelithiasis in both the gallbladder and bile duct, along with evidence of both acute and chronic cholecystitis, and an obstructive component. This typically occurs in patients presenting with severe right upper quadrant pain, jaundice, fever, and elevated liver enzymes, where imaging confirms the stones and inflammation.

• Ensure documentation specifies both acute and chronic cholecystitis, not just one or the other.
• Verify that gallstones are present in both the gallbladder and the bile duct.
• Look for explicit mention of obstruction, such as choledocholithiasis causing biliary obstruction.