K83 vs K91.5
K83 and K91.5 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on K83
postcholecystectomy syndrome (K91.5)
K83
Other diseases of biliary tract
Not billable
- Chapter 11
- Diseases of the digestive system
- Section
- K80-K87
K91.5
Postcholecystectomy syndrome
Billable
- Chapter 11
- Diseases of the digestive system
- Section
- K90-K95
Indexed under
- Postcholecystectomy syndrome
- Remnant › cystic duct, postcholecystectomy
- Syndrome › cystic duct stump
- Syndrome › postcholecystectomy
- Complication › surgical procedure › postcholecystectomy syndrome (s) (from) (of)
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