Office note: "Sally has been experiencing right upper quadrant pain for the last three months. After extensive testing, gallbladder disease and gall stones have been ruled out. The clinical assessment is spasm of the sphincter of Oddi." The code(s) to report for this case is (are) _____.
A) K83.4, R10.11
B) R10.11, K80.30
C) K82.9, K80.30
D) K83.4

Question

Quizplus · Accepted Answer

The correct code for spasm of the sphincter of Oddi is K83.4. The other codes listed (R10.11 for right upper quadrant pain, K80.30 for gallstones without cholecystitis, and K82.9 for unspecified disease of gallbladder) are not correct because the question specifies that gallbladder disease and gallstones have been ruled out, and the focus is on the diagnosis of sphincter of Oddi spasm.

Office Note: "Sally Has Been Experiencing Right Upper Quadrant Pain