MCMedicalCodingSoftware
K35.33

K35.33: Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess

Billable / specific codeICD-10-CM

K35.33 is a billable, specific ICD-10-CM code for acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess. It is valid for submission on a claim.

Check K35.33 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • (Acute) appendicitis with (peritoneal) abscess NOS
  • Ruptured appendix with localized peritonitis and abscess

Other codes that can never be billed with K35.33

Their own Excludes1 notes name this code, so the conflict is not listed above.

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K35.33 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A55336Billing and Coding: Retroperitoneal Ultrasound
  • A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

  • Abscess›appendix
  • Abscess›cecum
  • Abscess›ileocecal
  • Abscess›periappendicular
  • Abscess›pericecal
  • Abscess›perityphlic
  • Abscess›postcecal
  • Abscess›subcecal
  • Abscess›vermiform appendix
  • Abscess›iliac›fossa
  • Abscess›peritoneum, peritoneal›with appendicitis
  • Appendicitis›with›peritoneal abscess

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under K35.3

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.