Calculus of GB and bile duct w/o cholecyst w/o obstruction

This code signifies the presence of gallstones (calculi) within both the gallbladder and the bile ducts, without any associated inflammation of the gallbladder (cholecystitis) or blockage of the bile flow. It describes a quiescent state of cholelithiasis and choledocholithiasis.

Use this code when diagnostic imaging (e.g., ultrasound, MRI, ERCP) confirms the presence of stones in both the gallbladder and the common bile duct, and the patient presents without symptoms or signs of acute cholecystitis or biliary obstruction. Documentation should explicitly state the absence of inflammation and obstruction.

• Ensure documentation clearly negates cholecystitis and obstruction; otherwise, a more specific code is required.
• Do not use if there is any mention of acute or chronic cholecystitis or any form of obstruction (e.g., jaundice, elevated bilirubin due to obstruction).
• This code is often used for incidental findings or for patients being evaluated for other conditions where gallstones are discovered.