K6A.0Non-billable

Pelvic abscess

Diseases of the Digestive System·Diseases of the pelvis, not elsewhere classified·subcategory·FY 2027

2 billable codes under K6A.0: all are an MCC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes2: not included here, code separately if applicable

  • peritoneal abscess (K65.1)
  • retroperitoneal abscess (K68.1-)

Code also: add a code for this too, order depends on the encounter

  • if applicable:
  • diverticular disease of intestine (K57.-)
  • female pelvic inflammatory disease (N73.-)

Use additional code: add a second code for this, listed after this one

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

All codes under K6A.0

K6A.0 can't be used on a claim. Pick a billable code below; grey headings group them.

MS-DRGs

As the principal diagnosis, all 2 billable codes under K6A.0 group to these MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Codes whose notes mention K6A.0

If you are coding one of these, its note tells you to add K6A.0 too (Code Also, Use Additional Code), code it first (Code First), or not use it together (Excludes1).

  • K57 Code Also: pelvic abscess (K6A.0-)
  • K65.1 Excludes2: pelvic abscess (extraperitoneal) (K6A.0-)
  • N70-N77 Code Also: if applicable, pelvic abscess (K6A.0-)