ICD10BillableValid for clinical use

ICD-10 Code K35.32: Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess

K35.32 is a billable ICD-10 diagnosis code used to classify Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the digestive system (K00-K95).

Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the digestive system (K00-K95).

When is it used?

  • May be used when a clinician documents acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
11Diseases of the digestive system (K00-K95)
block
K35-K38Diseases of appendix
category
K35Acute appendicitis
category
K35.3Acute appendicitis with localized peritonitis
currentK35.3

Official coding notes

Inclusion terms
  • (Acute) appendicitis with perforation NOS
  • Perforated appendix NOS
  • Ruptured appendix (with localized peritonitis) NOS

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

GastroenterologistGeneral Physician

Coverage-related procedures and services

Coding guidelines

Common synonyms

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

Frequently asked questions

Code details

CodeK35.32
SystemICD10
Display nameAcute appendicitis with perforation, localized peritonitis, and gangrene, without abscess
ChapterDiseases of the digestive system (K00-K95)
BlockDiseases of appendix

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
Appendicitis(pneumococcal) (retrocecal)Appendicitis(pneumococcal) (retrocecal)Appendicitis(pneumococcal) (retrocecal)Appendicitis(pneumococcal) (retrocecal)Appendicitis(pneumococcal) (retrocecal)Perforation, perforated(nontraumatic) (of)Perforation, perforated(nontraumatic) (of)Perforation, perforated(nontraumatic) (of)Perforation, perforated(nontraumatic) (of)Peritonitis(adhesive) (bacterial) (fibrinous) (hemorrhagic) (idiopathic) (localized) (perforative) (primary) (with adhesions) (with effusion)Rupture, rupturedRupture, ruptured
See also
Appendicitis

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

ICD-10 Code K35.32 for Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess | HealthAssure