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K80 ICD-10-CM Code: Cholelithiasis

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Disorders of gallbladder, biliary tract and pancreas (K80-K87)

K80

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Cholelithiasis

Cholelithiasis

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
K8Disorders of gallbladder, biliary tract and pancreas (K80-K87)
K80Cholelithiasis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K80 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for K80 in this effective period.

Related Child Codes

Official
K80.0Calculus of gallbladder with acute cholecystitis
K80.1Calculus of gallbladder with other cholecystitis
K80.2Calculus of gallbladder without cholecystitis
K80.3Calculus of bile duct with cholangitis
K80.4Calculus of bile duct with cholecystitis

Includes

Official

ICD-10-CM does not list Includes notes for K80 in this effective period.

Excludes 1

Official
  • retained cholelithiasis following cholecystectomy (K91.86)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K80 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for K80 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for K80 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

K80 is the ICD-10-CM diagnosis code for cholelithiasis. K80 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering disorders of gallbladder, biliary tract and pancreas (k80-k87).

Header codes like K80 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K80's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K80 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • retained cholelithiasis following cholecystectomy (K91.86)

Child Codes

Code Hierarchy

K80Cholelithiasis
K80Cholelithiasis

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