What is the ICD-10 code for status post cholecystectomy?

The ICD-10 code for status post cholecystectomy is Z90.5, used to indicate the acquired absence of the gallbladder.

When should Z48.01 be used?

Z48.01 should be used for encounters specifically for postoperative care following cholecystectomy, such as wound care or drain management.

ICD-10 Coding for Status Post Cholecystectomy(Z90.5, K91.5, R10.11)

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Learn about the ICD-10 coding for status post cholecystectomy, including Z90.5 for acquired absence of gallbladder and Z48.01 for postoperative care.

Also known as:

S/P CholecystectomyPost-Cholecystectomy Status

Related ICD-10 Code Ranges

Complete code families applicable to Status Post Cholecystectomy

Z00-Z99Primary Range

Factors influencing health status and contact with health services

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
Z90.5	Acquired absence of gallbladder	Use when documenting the anatomical status of a patient who has had a cholecystectomy.	Surgical history confirming cholecystectomy Absence of gallbladder noted in imaging or surgical report
Z48.01	Encounter for surgical aftercare following surgery on the digestive system	Use for visits specifically for postoperative care following cholecystectomy.	Documentation of postoperative care activities such as wound care or drain management
K91.5	Postcholecystectomy syndrome	Use when the patient presents with symptoms directly related to postcholecystectomy syndrome.	Symptoms such as RUQ pain fatty stool or bile duct issues post-surgery

Primary ICD-10-CM Codes

Acquired absence of kidney

Z90.5Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Encounter for surgical aftercare following surgery on the digestive systemZ48.01

Acquired absence of gallbladderZ90.5

Right upper quadrant painR10.11

Documentation & Coding Risks

Avoid these common issues when documenting Status Post Cholecystectomy.

Vague documentation of postoperative visits

Impact

Clinical: May lead to inadequate patient care follow-up., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.

Mitigation

Use specific language to describe postoperative care activities, Ensure all relevant details are included in the patient's record

Using Z90.5 as a primary code for postoperative care visits

Impact

Reimbursement: Incorrect coding can lead to denied claims for postoperative care., Compliance: Non-compliance with coding guidelines for postoperative care., Data Quality: Inaccurate representation of patient care in medical records.

Mitigation

Use Z48.01 for postoperative care visits and Z90.5 as a secondary code.

Postoperative Care Documentation

Impact

Inadequate documentation of postoperative care can lead to audit issues.

Mitigation

Ensure thorough documentation of all care activities and patient symptoms.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with Z90.5.

Primary Code

Z90.5

Acquired absence of kidney

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ICD-10 codes4

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ICD-10 Coding for Status Post Cholecystectomy(Z90.5, K91.5, R10.11)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for status post cholecystectomy?

When should Z48.01 be used?

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