Other cholelithiasis without obstruction

This code signifies the presence of gallstones within the gallbladder or bile ducts, but without any evidence of blockage of the bile flow. Patients may experience symptoms such as abdominal pain, nausea, or indigestion, or the condition may be asymptomatic and discovered incidentally.

Apply this code when documentation confirms cholelithiasis (gallstones) and explicitly states or clearly implies the absence of obstruction. This is appropriate for cases where imaging studies (e.g., ultrasound, CT scan) identify gallstones but show no dilation of bile ducts or other signs of obstruction.

• Ensure documentation explicitly rules out obstruction; if obstruction is present, a more specific code is required.
• Do not use this code if the cholelithiasis is specified as acute or chronic cholecystitis; those conditions have their own distinct codes.
• Consider sequencing this code after any codes for associated symptoms, if applicable, and if the cholelithiasis is not the primary reason for the encounter.