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2025 ICD-10-CM code K68.1

Retroperitoneal abscess.

Be sure to specify any associated causes or complications, such as post-procedural abscess (K68.11) or psoas muscle abscess (K68.12) when applicable, using the appropriate sub-codes.

Medical necessity for treatment of a retroperitoneal abscess is established by the presence of the abscess itself, along with associated symptoms and signs of infection. The chosen treatment approach should be justified based on the size and location of the abscess, the patient's overall condition, and the potential risks and benefits of each option.

Diagnosis and management of a retroperitoneal abscess typically falls under the purview of general surgeons,and potentially infectious disease specialists depending on the underlying cause.

In simple words: An abscess located behind the abdominal lining, in the retroperitoneal space.

Retroperitoneal abscess.

Example 1: A patient presents with abdominal pain, fever, and leukocytosis. Imaging reveals a collection of pus in the retroperitoneal space, consistent with an abscess. Code K68.1 is assigned., A patient with a history of diverticulitis develops a retroperitoneal abscess as a complication. The abscess is drained percutaneously. Code K68.1 is assigned., A patient undergoes a surgical procedure, and post-operatively develops a retroperitoneal abscess. The abscess requires surgical drainage. K68.1 would be used, and potentially the code K68.11 - "Postprocedural retroperitoneal abscess" if applicable.

Documentation should include imaging findings (CT, ultrasound, or MRI) confirming the presence of a retroperitoneal abscess, as well as relevant clinical findings like fever, abdominal pain, and laboratory results indicating infection (e.g., leukocytosis). Documentation should also outline the treatment approach, whether percutaneous drainage, surgical intervention, or antibiotic therapy.

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