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

This code signifies the presence of gallstones within both the gallbladder and the bile ducts, leading to an obstruction of bile flow. Importantly, there is no associated inflammation of the gallbladder (cholecystitis) present. This condition can cause symptoms such as jaundice, abdominal pain, and elevated liver enzymes due to the blocked bile ducts.

Use this code when documentation clearly indicates cholelithiasis (gallstones) in the gallbladder and choledocholithiasis (gallstones in the common bile duct), along with evidence of obstruction, such as dilated bile ducts on imaging or elevated bilirubin. The absence of acute cholecystitis must also be explicitly stated or clearly implied. This code is appropriate for patients presenting with obstructive jaundice due to stones in both locations without gallbladder inflammation.

• Ensure documentation explicitly states "without cholecystitis" or provides findings inconsistent with acute inflammation.
• Distinguish from codes for calculus of gallbladder with cholecystitis (K80.0-K80.2) or calculus of bile duct with cholangitis (K80.3-K80.4).
• Always sequence this code first when it is the primary reason for the encounter, followed by any associated symptoms or complications.