K80.20
BillableCalculus of gallbladder without cholecystitis without obstruction
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is K80.20 an HCC code?
No. K80.20 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
K80.20 is the ICD-10-CM diagnosis code for calculus of gallbladder without cholecystitis without obstruction. Gallstones without inflammation of the gallbladder, and without blockage of the bile ducts. K80.20 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).
K80.20 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use only when gallstones are present but there is no evidence of cholecystitis or obstruction.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K80.20 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use only when gallstones are present but there is no evidence of cholecystitis or obstruction
- •This represents asymptomatic or minimally symptomatic cholelithiasis