ICD-10-CM 2027 diagnosis code
K35.3Acute appendicitis with localized peritonitis
K35.3 is a header code, so it can't be reported by itself. Choose one of the 4 more specific codes beneath it.
Code last changed in FY2019 (effective October 1, 2018). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About K35.3
K35.3 is the ICD-10-CM diagnosis code for acute appendicitis with localized peritonitis. It belongs to category K35 (acute appendicitis), block K35-K38 (diseases of appendix) and chapter 11 (diseases of the digestive system). It is a header code, so it can't be reported by itself; one of its 4 subcodes must be used instead.
Within K35 (acute appendicitis), K35.3 is specifically for acute appendicitis with localized peritonitis. Related codes cover with generalized peritonitis (K35.2) and other and unspecified acute appendicitis (K35.8).
To report this condition, pick the subcode that matches the documentation: K35.30 (without perforation or gangrene), K35.31 (and gangrene, without perforation), K35.32 (abscess) and K35.33 (abscess).
It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2019 (expanded into subcodes).
Before ICD-10, this condition was coded in ICD-9-CM as 540.1 (acute appendicitis with peritoneal abscess).
Specific codes under K35.3
- K35.30Acute appendicitis with localized peritonitis, without perforation or gangreneBillable
- K35.31Acute appendicitis with localized peritonitis and gangrene, without perforationBillable
- K35.32Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscessBillable
- K35.33Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscessBillable
Notes that apply from higher levels
Instructions written at a parent level also apply to K35.3.
Broader instructions also apply from Chapter 11: Diseases of the digestive system.
Codes whose notes reference K35.3
ICD-9-CM equivalent
Converter →- 540.1Acute appendicitis with peritoneal abscessapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- FY2019 (effective 10/1/2018): Expanded — no longer billable