Excludes1 pair

K80- vs K82.0

K80 and K82.0 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on K82.0
obstruction of gallbladder with cholelithiasis (K80.-)
K80

Cholelithiasis

Not billable
Chapter 11
Diseases of the digestive system
Section
K80-K87
K82.0

Obstruction of gallbladder

Billable
Chapter 11
Diseases of the digestive system
Section
K80-K87
Use when the record says
  • Occlusion of cystic duct or gallbladder without cholelithiasis
  • Stenosis of cystic duct or gallbladder without cholelithiasis
  • Stricture of cystic duct or gallbladder without cholelithiasis
Indexed under
  • Contraction, contracture, contracted › gallbladder
  • Obstruction, obstructed, obstructive › gallbladder
  • Contraction, contracture, contracted › hourglass › gallbladder
  • Obstruction, obstructed, obstructive › biliary › gallbladder
  • Atresia, atretic › cystic duct › acquired › with obstruction

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027