This guide consolidates CMS updates, ICD-10-PCS code definitions, and clinical documentation pearls for open, laparoscopic, and robotic cholecystectomy, including postoperative and aftercare coding.
Discover valuable insights on Cholecystectomy ICD codes, from the most common codes to their clinical descriptions, billability, and synonyms.
ICD-10 Coding for Cholecystectomy: 2025... Procedure (PCS): Code 0FT44ZZ for a standard laparoscopic complete cholecystectomy. Use "Resection" for total removal. Diagnosis (CM): Use combination codes like K80.00 (Calculus with acute cholecystitis) to capture stones and inflammation.
A retained gallstone, or cholelithiasis, following a cholecystectomy is a known complication that requires a specific ICD-10 code: K91.86 (Retained cholelithiasis following cholecystectomy).
Overview A cholecystectomy (koh-luh-sis-TEK-tuh-me) is a surgery to remove the gallbladder. The gallbladder is a pear-shaped organ that sits just below the liver on the upper right side of the abdomen. The gallbladder collects and stores a digestive fluid made in the liver called bile.
Treatment options for gallstones include: Surgery to remove the gallbladder (cholecystectomy). Your doctor may recommend surgery to remove your gallbladder, since gallstones frequently recur. Once your gallbladder is removed, bile flows directly from your liver into your small intestine, rather than being stored in your gallbladder.
Special surgical tools and a tiny video camera are put through cuts, called incisions, in the belly during laparoscopic cholecystectomy. Carbon dioxide gas inflates the belly to make room for the surgeon to work with surgical tools.
Surgery to remove the gallbladder is called cholecystectomy. Some people get loose stools, also called diarrhea, after having this surgery. In most cases, the diarrhea lasts no more than a few weeks to a few months. There is no specific gallbladder removal diet that you should follow if you have this problem.