K35.211
Acute appendicitis with generalized peritonitis, with perforation and abscess
Clinical Classification Guidelines
Inclusion Terms
- Appendicitis (acute) with generalized (diffuse) peritonitis following rupture or perforation of appendix, with abscess
Medical Intelligence & Overview
ICD-10 code K35.211 describes a severe form of appendicitis characterized by a rupture of the appendix leading to widespread peritonitis, along with the presence of an abscess. This condition is a critical medical emergency that requires prompt diagnosis and treatment to prevent serious complications. It involves inflammation of the appendix that has perforated, causing infection to spread across the abdominal cavity and forming abscesses, which are pockets of pus.
Causes & Symptoms
Clinical Causes: Obstruction of the appendix opening, often due to fecaliths, lymphoid hyperplasia, or foreign bodies Progression of initial appendicitis leading to tissue necrosis and rupture Bacterial infection that invades the appendix wall and surrounding abdominal tissues Delayed medical treatment allowing the infection to worsen and perforate
Key Symptoms: Severe abdominal pain, often starting near the navel and then shifting to the lower right abdomen Signs of peritonitis such as abdominal rigidity, tenderness, and swelling Fever and chills due to systemic infection Nausea and vomiting Loss of appetite General malaise and weakness Elevated heart rate and rapid breathing in severe cases
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of clinical examination and medical imaging. Key steps include:
Treatment Protocols: Managing this condition requires urgent medical intervention, often involving:
Clinical Advice & FAQs
Billing Guidance
Is K35.211 a billable ICD-10 code?
Yes, K35.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K35.211?
Clinical documentation must specify the nature of Acute appendicitis with generalized peritonitis, with perforation and abscess and any associated comorbidities for accurate reporting.
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