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ICD-10-CM K65.0, Generalized (acute) peritonitis | No Prior Auth

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`K65.0`, Generalized (acute) peritonitis

ICD-10-CM

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Documentation Required

This billing and coding article provides guidelines that complement Local Coverage Determination L34415 for CT of the abdomen and pelvis; consult LCD L34415 for specific coverage indications, limitations, and documentation requirements.
This billing/coding guideline complements LCD L33459 (Computerized Axial Tomography (CT), Thorax); follow the LCD for clinical coverage and any required documentation or prior authorization rules.

Key Coverage Criteria

Exposure to hepatotoxins;or
Gastrointestinal disease;or
Liver transplantation;or
Primary or secondary malignant neoplasms;or
Infections that may cause liver injury (for example, viral hepatitis, amoebiasis, tuberculosis, and similar infections);or
Pancreatic disease;or

3 Active Policies

ANTHEM-CG-LAB-29, Gamma Glutamyl Transferase Testing

A56421, Billing and Coding: CT of the Abdomen and Pelvis

A56580, Billing and Coding: Computerized Axial Tomography (CT), Thorax

Related Codes

R16.0(3 policies)A41.9(3 policies)D49.0(3 policies)R10.0(3 policies)Z85.00(3 policies)A40.0(2 policies)A19.9(2 policies)A41.4(2 policies)

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