ICDcodes.org
FY2027

K65 vs O08.0

K65 and O08.0 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.

The official note, declared on K65
peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)
K65

Peritonitis

Not billable
Chapter 11
Diseases of the digestive system
Section
K65-K6A
O08.0

Genital tract and pelvic infection following ectopic and molar pregnancy

Billable
Chapter 15
Pregnancy, childbirth and the puerperium
Section
O00-O08
Use when the record says
  • Endometritis following ectopic and molar pregnancy
  • Oophoritis following ectopic and molar pregnancy
  • Parametritis following ectopic and molar pregnancy
  • Pelvic peritonitis following ectopic and molar pregnancy
  • Salpingitis following ectopic and molar pregnancy
  • Salpingo-oophoritis following ectopic and molar pregnancy
Indexed under
  • Deciduitis › following ectopic or molar pregnancy (acute)
  • Endometritis › with ectopic pregnancy (decidual) (nonspecific) (purulent) (senile) (atrophic) (suppurative)
  • Lymphadenitis › with ectopic or molar pregnancy
  • Lymphadenitis › following ectopic or molar pregnancy
  • Peritonitis › following ectopic or molar pregnancy (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion)

These two codes sit in different chapters of the Tabular List, which is usually the clearest signal that they describe different underlying processes rather than different degrees of the same one.

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027