K65

Peritonitis

FY2027Chapter 11: Diseases of the digestive system/K65–K6A Diseases of peritoneum, retroperitoneum and pelvis

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

K65 is a non-billable ICD-10-CM code category for peritonitis. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are K65.0 Generalized (acute) peritonitis, K65.1 Peritoneal abscess, K65.2 Spontaneous bacterial peritonitis, K65.3 Choleperitonitis and 3 more. Its coding notes include a Use additional code instruction, a Code also instruction, 17 Excludes1 entries and 8 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code (B95-B97), to identify infectious agent, if known

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

This code
  • if applicable diverticular disease of intestine (K57.-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • acute appendicitis with generalized peritonitis (K35.2-)
  • aseptic peritonitis (T81.6)
  • benign paroxysmal peritonitis (E85.0)
  • chemical peritonitis (T81.6)
  • gonococcal peritonitis (A54.85)
  • neonatal peritonitis (P78.0-P78.1)
  • pelvic peritonitis, female (N73.3-N73.5)
  • periodic familial peritonitis (E85.0)
  • peritonitis due to talc or other foreign substance (T81.6)
  • peritonitis in chlamydia (A74.81)
  • peritonitis in diphtheria (A36.89)
  • peritonitis in syphilis (late) (A52.74)
  • peritonitis in tuberculosis (A18.31)
  • peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)
  • peritonitis with or following appendicitis (K35.-)
  • puerperal peritonitis (O85)
  • retroperitoneal infections (K68.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (8 notes)
Inherited from Chapter 11 Diseases of the digestive system
  • 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)

More specific codes under K65 7