AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 2; Ask the Editor

Sequencing of Acute Cholecystitis with Cholelithiasis and Gallstone Pancreatitis

A patient presented to the emergency department (ED) due to a history of upper abdominal pain that was exacerbated after eating fatty foods, along with associated nausea. After preliminary work-up in the ED, including ultrasound of the abdomen, the patient was admitted due to acute cholecystitis with cholelithiasis and gallstone pancreatitis. IV medications were administered for pain and nausea and a laparoscopic cholecystectomy was performed. Are cholecystitis and pancreatitis considered interrelated conditions with either condition potentially meeting the definition of principal diagnosis? What is the appropriate principal diagnosis in this case? ...

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