Is K67 a billable ICD-10-CM code?

Yes. K67 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K67 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Diseases of peritoneum and retroperitoneum (K65-K68).

What cannot be coded together with K67?

K67 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

K67

K67 — Disorders of peritoneum in infectious diseases classified elsewhere

Billable / specific codeICD-10-CM

K67 is a billable, specific ICD-10-CM code for disorders of peritoneum in infectious diseases classified elsewhere. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

peritonitis in chlamydia (A74.81)
peritonitis in diphtheria (A36.89)
peritonitis in gonococcal (A54.85)
peritonitis in syphilis (late) (A52.74)
peritonitis in tuberculosis (A18.31)

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
congenital syphilis (A50.0)
helminthiasis (B65.0 -B83.9)

Risk adjustment

K67 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 78 Intestinal Obstruction/Perforation0.326 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

K67 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis

Code history

K67 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Questions about K67

Is K67 a billable ICD-10-CM code?: Yes. K67 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K67 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Diseases of peritoneum and retroperitoneum (K65-K68).
What cannot be coded together with K67?: K67 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.