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K65 ICD-10-CM Code: Peritonitis

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Diseases of peritoneum and retroperitoneum (K65-K68)

K65

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Peritonitis

Peritonitis

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
K6Diseases of peritoneum and retroperitoneum (K65-K68)
K65Peritonitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K65 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for K65 in this effective period.

Related Child Codes

Official
K65.0Generalized (acute) peritonitis
K65.1Peritoneal abscess
K65.2Spontaneous bacterial peritonitis
K65.3Choleperitonitis
K65.4Sclerosing mesenteritis

Includes

Official

ICD-10-CM does not list Includes notes for K65 in this effective period.

Excludes 1

Official
  • acute appendicitis with generalized peritonitis (K35.2-)
  • aseptic peritonitis (T81.6)
  • benign paroxysmal peritonitis (E85.0)
  • chemical peritonitis (T81.6)
  • gonococcal peritonitis (A54.85)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K65 in this effective period.

Use Additional

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

Code Also

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

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

K65 is the ICD-10-CM diagnosis code for peritonitis. K65 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering diseases of peritoneum and retroperitoneum (k65-k68).

Header codes like K65 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K65's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K65 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • 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.-)

Use Additional Code

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

Code Also

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

Child Codes

Code Hierarchy

K65Peritonitis
K65Peritonitis

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