Cholelithiasis J001
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/c-d/cholelithiasis-j001-k80
Rulebase for cholelithiasis
<h5><strong>Current RMA Instruments:</strong></h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2016/051.pdf" target="_blank">Reasonable Hypothesis SOP</a></address></td><td>51 of 2016</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2016/052.pdf" target="_blank">Balance of Probabilities SOP </a></address></td><td>52 of 2016</td></tr></tbody></table><h5>Changes from previous Instruments:</h5><p><drupal-media data-entity-type="media" data-entity-uuid="6604ce51-2f6f-4d54-9d9d-ddd1861dc8fc" data-view-mode="wysiwyg"></drupal-media></p><h5> ICD Coding:</h5><ul><li>ICD-9-CM Codes: 574</li><li>ICD-10-AM Codes: K80</li></ul><h5><strong>Brief descritpion</strong></h5><p>The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).</p><h5><strong>Confirming the diagnosis</strong></h5><p>The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).</p><p>The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>choledocholithiasis</li><li>gallstones</li><li>gallstones in bile ducts</li><li>gallstones with cholecystitis</li></ul><h5><strong>Conditions excluded from SOP </strong></h5><ul><li>Biliary colic from other causes<sup><font size="2">#</font></sup></li><li>Cholecystitis in the absence of gallstones<sup><font size="2">#</font></sup></li></ul><p><sup><font size="2">#</font></sup> non-SOP condition</p><h5><strong>Clinical onset</strong></h5><p>The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.</p><h5>Clinical worsening</h5><p>Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.</p><p> </p><p> </p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis
A bacterial infection of the biliary tract
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/bacterial-infection-biliary-tract
A haemolytic disease
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/haemolytic-disease
A parasitic infestation of the biliary tract
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/parasitic-infestation-biliary-tract
A partial or complete gastrectomy
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/partial-or-complete-gastrectomy
A spinal cord injury
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/spinal-cord-injury
An obstruction of the biliary tract
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/obstruction-biliary-tract
Being pregnant
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/being-pregnant
Cirrhosis of the liver
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/cirrhosis-liver
Ileal resection or ileal bypass
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/ileal-resection-or-ileal-bypass
Inability to obtain appropriate clinical management for cholelithiasis
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/inability-obtain-appropriate-clinical-management-cholelithiasis
Inflammatory bowel disease involving the ileum
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/inflammatory-bowel-disease-involving-ileum
Obesity
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/obesity
Oestrogen therapy
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/oestrogen-therapy
Rapid and extreme weight loss
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/rapid-and-extreme-weight-loss
Total parenteral nutrition
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/total-parenteral-nutrition
Treatment with a drug from the specified list
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/treatment-drug-specified-list
Type 2 diabetes mellitus
Current RMA Instruments:
| Reasonable Hypothesis SOP | 51 of 2016 |
| Balance of Probabilities SOP | 52 of 2016 |
Changes from previous Instruments:
ICD Coding:
- ICD-9-CM Codes: 574
- ICD-10-AM Codes: K80
Brief descritpion
The gallbladder is a small, pear-shaped organ on the right side of the abdomen, beneath the liver. The gallbladder stores bile (a digestive fluid) for release into the small intestine. Gallstones are stones formed within the galbladder from bile components. They may remain in the gallbladder, where they can cause inflammation (cholecystitis) or enter the biliary tract, where they can cause obstruction (biliary colic).
Confirming the diagnosis
The diagnosis may be suspected on clinical grounds but needs to be confirmed by imaging (ultrasound, CT scan, MRI) or via endoscopic retrograde cholangiopancreatography (ERCP).
The relevant medical specialist is a gastroenterologist or a hepatobiliary/general surgeon.
Additional diagnoses covered by SOP
- choledocholithiasis
- gallstones
- gallstones in bile ducts
- gallstones with cholecystitis
Conditions excluded from SOP
- Biliary colic from other causes#
- Cholecystitis in the absence of gallstones#
# non-SOP condition
Clinical onset
The condition may be asymptomatic and be found incidentally, or it may cause symptoms, typically of cholecystitis or biliary colic. Clinical onset will be at the time of diagnosis (by imaging) for asymptomatic stones or may be backdated to the onset of characteristic symptoms once diagnosis has been confirmed.
Clinical worsening
Most patients who are asymptomatic will remain so. In patients who develop symptoms, a significant number will subsequently develop complications, including acute cholecystitis, choledocholithiasis (stone in common bile duct) with or without acute cholangitis, and gallstone pancreatitis. Worsening beyond the normal course of the disease will be difficult to establish and will require specialist opinion. Appropriate treatment depends on the clinical presentation and may range from observation through to surgery.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/cholelithiasis-j001-k80/rulebase-cholelithiasis/type-2-diabetes-mellitus