K65.4

Sclerosing mesenteritis

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC78

Intestinal Obstruction/Perforation

CMS-HCC ESRD V24

HCC33

Intestinal Obstruction/Perforation

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · K65.4
Synonyms

Fat necrosis of peritoneum (Idiopathic) sclerosing mesenteric fibrosis Mesenteric lipodystrophy Mesenteric panniculitis Retractile mesenteritis

Inherited from K65Peritonitis
Excludes 1

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

Code also

if applicable diverticular disease of intestine (K57.-)

Inherited from chapter 11Diseases of the digestive system
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Official Guidelines for K65.4

FY 2026 ›