ICD-10-CM Billable Code

K35.891

Other acute appendicitis without perforation, with gangrene

Clinical Classification Guidelines

Inclusion Terms

  • (Acute) appendicitis with gangrene NOS

Medical Intelligence & Overview

K35.891 refers to a specific type of appendicitis characterized by acute inflammation of the appendix that has developed gangrene, but without perforation. This condition indicates a severe form of appendicitis where tissue death occurs due to insufficient blood supply, making prompt medical attention crucial for effective management and to prevent complications.

Causes & Symptoms

Clinical Causes: Blockage of the appendix opening by fecaliths, foreign bodies, or lymphoid tissue swelling Infections caused by bacteria or viruses leading to inflammation Reduced blood flow to the appendix, possibly due to blood clots or other circulatory issues Underlying health conditions that impair immune response

Key Symptoms: Sudden onset of sharp pain in the lower right abdomen, which may worsen over time Pain that initially may be generalized around the abdomen and then localizes to the right lower quadrant Nausea and vomiting Loss of appetite Low-grade fever or chills Swelling or tenderness upon abdominal examination Possible signs of systemic infection such as feeling unwell or fatigue

Diagnostic & Treatment

Diagnosis Path: Physical examination to check for abdominal tenderness and signs of inflammation Imaging studies such as ultrasound or computed tomography (CT) scan to visualize the appendix and assess for gangrene or other complications Blood tests to detect elevated white blood cell counts indicative of infection Possible urine tests to rule out other causes of abdominal pain

Treatment Protocols: Appendectomy: Surgical removal of the inflamed appendix, often performed laparoscopically or via open surgery Antibiotic therapy to combat infection and reduce inflammation Pain control with appropriate medications Monitoring for signs of perforation or abscess formation Postoperative care including rest, wound care, and follow-up assessments

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is K35.891 a billable ICD-10 code?
Yes, K35.891 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K35.891?
Clinical documentation must specify the nature of Other acute appendicitis without perforation, with gangrene and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

acute appendicitis gangrene