2025 ICD-10-CM code K35.32
(Active) Effective Date: N/A Revision Date: N/A Diseases of the appendix - Acute appendicitis with localized peritonitis Diseases of the digestive system (K00-K95) Feed
Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess.
Medical necessity for this code is established by the presence of acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess. This condition requires prompt surgical intervention (appendectomy) to prevent further complications, such as sepsis or widespread peritonitis.
The physician is responsible for diagnosing and managing acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess.This typically involves a physical examination, laboratory tests, imaging studies (such as CT scans), and often surgical intervention (appendectomy) to remove the inflamed appendix. Post-operative care, including pain management and antibiotic therapy, is also essential.
In simple words: This code describes a severe form of appendicitis where the appendix has ruptured, causing infection and inflammation in the surrounding area, but without a contained pocket of pus (abscess).
Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess. This condition involves inflammation, perforation, gangrene, and localized peritonitis of the appendix, but without the formation of an abscess.
Example 1: A 25-year-old male presents with severe abdominal pain, localized to the right lower quadrant.Imaging reveals an inflamed and perforated appendix with localized peritonitis and evidence of gangrene, but no abscess formation.He undergoes an appendectomy., A 40-year-old female experiences sudden onset of abdominal pain, nausea, and vomiting.Physical exam and CT scan show a perforated appendix with localized peritonitis, gangrene, and no abscess. She is treated with an appendectomy and antibiotics., A teenager presents to the emergency room with acute abdominal pain and fever.Examination reveals signs of peritonitis, and imaging confirms a gangrenous, perforated appendix without abscess formation.Emergency appendectomy is performed.
Documentation should include details of the patient's presenting symptoms (abdominal pain, nausea, vomiting, fever), physical examination findings (tenderness in the right lower quadrant, guarding, rebound tenderness), laboratory results (elevated white blood cell count), imaging findings (perforated appendix, localized peritonitis, gangrene), and surgical reports (appendectomy). The absence of an abscess should be specifically noted.
- Specialties:General surgery, emergency medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center