octoHealth

K56.3

Billable

Gallstone ileus

Chapter 11: Diseases of the digestive system

Additional Information

From parent codes: K00-K95 (Chapter 11)

Excludes 2 — Not Included HereFrom K00-K95

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Inpatient DRG Payments

DRG 38932,114 discharges

Gastrointestinal Obstruction With Cc

Avg. Medicare Payment

$5,697

Total Payment$7,859
Patient Responsibility$2,162
Hospital Charge$39,323
DRG 3888,832 discharges

Gastrointestinal Obstruction With Mcc

Avg. Medicare Payment

$11,514

Total Payment$14,417
Patient Responsibility$2,903
Hospital Charge$73,423
DRG 3908,779 discharges

Gastrointestinal Obstruction Without Cc/mcc

Avg. Medicare Payment

$3,505

Total Payment$5,706
Patient Responsibility$2,201
Hospital Charge$28,072