2023 ICD-10-CM Diagnosis Code K35.32

Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess

    2019 - New Code 2020 2021 2022 2023 - Revised Code Billable/Specific Code
  • K35.32 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Ac appendicitis w perf, loc peritonitis, & gangr, w/o abscs
  • ICD-10-CM K35.32 is a revised 2023 ICD-10-CM code that became effective on October 1, 2022.
  • This is the American ICD-10-CM version of K35.32 - other international versions of ICD-10 K35.32 may differ.
Applicable To
  • (Acute) appendicitis with perforation NOS
  • Perforated appendix NOS
  • Ruptured appendix (with localized peritonitis) NOS
The following code(s) above K35.32 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 K35.32:
  • 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
ICD-10-CM K35.32 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 338 Appendectomy with complicated principal diagnosis with mcc
  • 339 Appendectomy with complicated principal diagnosis with cc
  • 340 Appendectomy with complicated principal diagnosis without cc/mcc
  • 371 Major gastrointestinal disorders and peritoneal infections with mcc
  • 372 Major gastrointestinal disorders and peritoneal infections with cc
  • 373 Major gastrointestinal disorders and peritoneal infections without cc/mcc
Code History
  • 2019 (effective 10/1/2018): New code
  • 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): Revised code
    • New description: Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess
    • 2022 description: Acute appendicitis with perforation and localized peritonitis, without abscess

Diagnosis Index entries containing back-references to K35.32:
  • Appendicitis (pneumococcal) (retrocecal) K37
    ICD-10-CM Diagnosis Code K37

    Unspecified appendicitis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Type 1 Excludes
    • with
      • peritonitis NEC K35.33
        ICD-10-CM Diagnosis Code K35.33

        Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess

          2019 - New Code 2020 2021 2022 2023 - Revised Code Billable/Specific Code
        Applicable To
        • (Acute) appendicitis with (peritoneal) abscess NOS
        • Ruptured appendix with localized peritonitis and abscess
        • localized K35.30
          ICD-10-CM Diagnosis Code K35.30

          Acute appendicitis with localized peritonitis, without perforation or gangrene

            2019 - New Code 2020 2021 2022 2023 Billable/Specific Code
          Applicable To
          • Acute appendicitis with localized peritonitis NOS
        • rupture K35.32 (with localized peritonitis)
      • perforation NOS K35.32
    • acute (catarrhal) (fulminating) (obstructive) (retrocecal) (suppurative) K35.80
      ICD-10-CM Diagnosis Code K35.80

      Unspecified acute appendicitis

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Acute appendicitis NOS
      • Acute appendicitis without (localized) (generalized) peritonitis
      • with
        • peritonitis NEC K35.33
          ICD-10-CM Diagnosis Code K35.33

          Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess

            2019 - New Code 2020 2021 2022 2023 - Revised Code Billable/Specific Code
          Applicable To
          • (Acute) appendicitis with (peritoneal) abscess NOS
          • Ruptured appendix with localized peritonitis and abscess
          • localized K35.30
            ICD-10-CM Diagnosis Code K35.30

            Acute appendicitis with localized peritonitis, without perforation or gangrene

              2019 - New Code 2020 2021 2022 2023 Billable/Specific Code
            Applicable To
            • Acute appendicitis with localized peritonitis NOS
    • ruptured NOS K35.32 (with localized peritonitis)
  • Perforation, perforated (nontraumatic) (of)
    • appendix K35.32
      • with localized peritonitis K35.32
    • cecum K35.32
      • with localized peritonitis K35.32
  • Peritonitis (adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion) K65.9
    ICD-10-CM Diagnosis Code K65.9

    Peritonitis, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Bacterial peritonitis NOS
  • Rupture, ruptured

ICD-10-CM Codes Adjacent To K35.32
K31.A21 Gastric intestinal metaplasia with low grade dysplasia
K31.A22 Gastric intestinal metaplasia with high grade dysplasia
K31.A29 …… unspecified
K35 Acute appendicitis
K35.2 Acute appendicitis with generalized peritonitis
K35.20 …… without abscess
K35.21 …… with abscess
K35.3 Acute appendicitis with localized peritonitis
K35.30 …… without perforation or gangrene
K35.31 …… and gangrene, without perforation
K35.32 Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess
K35.33 Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess
K35.8 Other and unspecified acute appendicitis
K35.80 Unspecified acute appendicitis
K35.89 Other acute appendicitis
K35.890 …… without perforation or gangrene
K35.891 …… without perforation, with gangrene
K36 Other appendicitis
K37 Unspecified appendicitis
K38 Other diseases of appendix
K38.0 Hyperplasia of appendix

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