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K82.2 vs K82.A2

K82.2 (Perforation of gallbladder) compared with K82.A2 (Perforation of gallbladder in cholecystitis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. K82.2 carries an Excludes1 note covering K82.A2: “Perforation of gallbladder in cholecystitis (K82.A2)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

K82.2Perforation of gallbladderK82.A2Perforation of gallbladder in cholecystitis
Billing statusBillableBillable
ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)K00-K95 — Diseases of the Digestive System (K00-K95)
DefinitionPerforation of gallbladder is a billable ICD-10-CM diagnosis code (K82.2).Perforation of gallbladder in cholecystitis is a billable ICD-10-CM diagnosis code (K82.A2).
Includes
Rupture of cystic duct or gallbladder
Code first
the type of cholecystitis (K81.-), or cholelithiasis with cholecystitis (K80.00-K80.19, K80.40-K80.47, K80.60-K80.67)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources