2023 ICD-10-CM Diagnosis Code K65.4

Sclerosing mesenteritis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • K65.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM K65.4 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of K65.4 - other international versions of ICD-10 K65.4 may differ.
Applicable To
  • Fat necrosis of peritoneum
  • (Idiopathic) sclerosing mesenteric fibrosis
  • Mesenteric lipodystrophy
  • Mesenteric panniculitis
  • Retractile mesenteritis
The following code(s) above K65.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K65.4:
  • K00-K95
    2023 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • 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)
    Diseases of the digestive system
  • K65
    ICD-10-CM Diagnosis Code K65

    Peritonitis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code Also
    • if applicable diverticular disease of intestine (K57.-)
    Type 1 Excludes
    • 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
    Peritonitis
Approximate Synonyms
  • Fat necrosis of peritoneum
  • Peritoneal fat necrosis
Clinical Information
  • Inflammation of the adipose tissue in the mesentery, a form of peritoneal panniculitis, it is characterized by the presence of multinucleated giant cells and lipid-laden macrophages in the mesentery.
  • This entity represents the fibrotic stage of mesentery inflammation.
ICD-10-CM K65.4 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 393 Other digestive system diagnoses with mcc
  • 394 Other digestive system diagnoses with cc
  • 395 Other digestive system diagnoses without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert K65.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to K65.4:
  • Fat
  • Fibrosis, fibrotic
    • sclerosing mesenteric K65.4 (idiopathic)
  • Lipodystrophy (progressive) E88.1
    ICD-10-CM Diagnosis Code E88.1

    Lipodystrophy, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Lipodystrophy NOS
    Type 1 Excludes
    • mesenteric K65.4
  • Mesenteritis
    • retractile K65.4
    • sclerosing K65.4
  • Necrosis, necrotic (ischemic) - see also Gangrene
    • fat, fatty (generalized) - see also Disorder, soft tissue, specified type NEC
      • abdominal wall K65.4
      • mesentery K65.4
      • omentum K65.4
      • peritoneum K65.4
    • mesentery K55.069
      - see also Infarct, intestine
      ICD-10-CM Diagnosis Code K55.069

      Acute infarction of intestine, part and extent unspecified

        2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • fat K65.4
    • omentum (with mesenteric infarction) K55.069
      - see also Infarct, intestine
      ICD-10-CM Diagnosis Code K55.069

      Acute infarction of intestine, part and extent unspecified

        2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • fat K65.4
    • peritoneum (with mesenteric infarction) K55.069
      - see also Infarct, intestine
      ICD-10-CM Diagnosis Code K55.069

      Acute infarction of intestine, part and extent unspecified

        2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • fat K65.4
  • Panniculitis (nodular) (nonsuppurative) M79.3
    ICD-10-CM Diagnosis Code M79.3

    Panniculitis, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Type 1 Excludes
    • lupus panniculitis (L93.2)
    • neck and back panniculitis (M54.0-)
    • relapsing [Weber-Christian] panniculitis (M35.6)
    • mesenteric K65.4

ICD-10-CM Codes Adjacent To K65.4
K64.3 Fourth degree hemorrhoids
K64.4 Residual hemorrhoidal skin tags
K64.5 Perianal venous thrombosis
K64.8 Other hemorrhoids
K64.9 Unspecified hemorrhoids
K65 Peritonitis
K65.0 Generalized (acute) peritonitis
K65.1 Peritoneal abscess
K65.2 Spontaneous bacterial peritonitis
K65.3 Choleperitonitis
K65.4 Sclerosing mesenteritis
K65.8 Other peritonitis
K65.9 Peritonitis, unspecified
K66 Other disorders of peritoneum
K66.0 Peritoneal adhesions (postprocedural) (postinfection)
K66.1 Hemoperitoneum
K66.8 Other specified disorders of peritoneum
K66.9 Disorder of peritoneum, unspecified
K67 Disorders of peritoneum in infectious diseases classified elsewhere
K68 Disorders of retroperitoneum
K68.1 Retroperitoneal abscess

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.