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K56.3

Gallstone ileus

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 16 never code together
K56code
Excludes1
  • congenital stricture or stenosis of intestine (Q41-Q42)Q41-Q42
  • cystic fibrosis with meconium ileus (E84.11)E84.11
  • ischemic stricture of intestine (K55.1)K55.1
  • meconium ileus NOS (P76.0)P76.0
  • neonatal intestinal obstructions classifiable to P76.-P76.-
  • obstruction of duodenum (K31.5)K31.5
  • postprocedural intestinal obstruction (K91.3-)K91.3-
Excludes2
  • stenosis of anus or rectum (K62.4)K62.4
K00-K95chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 1
K56.3code
Inclusion terms
  • Obstruction of intestine by gallstone
Index entries leading here 4
  • Impaction, impacted
    • bowel, colon, rectum K56.49
    • gallstone (s) — see Calculus, gallbladder
      • in intestine, with obstruction (any part) K56.3
    • intestine (calculous) NEC K56.49
      • gallstone, with ileus K56.3
  • Obstruction, obstructed, obstructive
  • Gallstone (colic) (cystic duct) (gallbladder) (impacted) (multiple) — see also Calculus, gallbladder
    • causing intestinal obstruction K56.3
  • Ileus (bowel) (colon) (inhibitory) (intestine) K56.7
    • due to gallstone (in intestine) K56.3
    • gallstone K56.3
Alongside this code 7 same parent — K56
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC33 CMS28HCC78 ESRD21HCC33 ESRD24HCC33

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This code

Billable
yes
Code set
FY2026
Parent
K56
Block
K55-K64
Siblings
7

Present FY2024–FY2027.