K68.12
K68.12: Psoas muscle abscess
Billable / specific codeICD-10-CM
K68.12 is a billable, specific ICD-10-CM code for psoas muscle abscess. It is valid for submission on a claim.
Check K68.12 with the rest of the claim: free scrubberOther codes that can never be billed with K68.12
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K65Peritonitis
Risk adjustment
K68.12 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
K68.12 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Alphabetic index entries that lead here
- Abscess›psoas muscle
Code history
Unchanged in every release from FY2024 to FY2027.