K65.0 Generalized (acute) peritonitis

The ICD-10-CM code for Generalized (acute) peritonitis is K65.0 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

11: Diseases of the digestive system (K00-K95)

Section

K65-K68: Diseases of peritoneum and retroperitoneum (K65-K68)

Category K65

8 codes (7 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to K65.0:

• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › general (ized)
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › diffuse
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › disseminated
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › acute (generalized)
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › purulent
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › pancreatic
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › fibropurulent
• Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) › diaphragmatic

Inclusion Terms

• Pelvic peritonitis (acute), male
• Subphrenic peritonitis (acute)
• Suppurative peritonitis (acute)

U.S. Hospital Utilization

• An estimated 22,250 U.S. inpatient stays in 2023 included K65.0 among the documented diagnoses.
• 530 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Chapter 11 reserved for future expansion

11. Chapter 11: Diseases of the Digestive System (K00-K95) Reserved for future guideline expansion

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)