2027 ICD-10-CM Diagnosis Code K35.80Unspecified acute appendicitis

ICD-10-CM Codes›K00–K95›K35-K38›K35

ICD-10-CM K35.80
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K35.80 is a billable ICD-10-CM diagnosis code for unspecified acute appendicitis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 24 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Appendicitis and other appendiceal conditions.

Code Identity

ICD-10-CM Code
K35.80
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified acute appendicitis
Short Description
Unspecified acute appendicitis
Same as the full description in the CMS dataset.
Parent Code
Other and unspecified acute appendicitis

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK35-K38Diseases of appendix
CategoryK35Acute appendicitis
This CodeK35.80Unspecified acute appendicitis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abscess of appendix
  • Acute appendicitis
  • Acute appendicitis with appendix abscess
  • Acute appendicitis without peritonitis
  • Acute fulminating appendicitis
  • Acute gangrenous appendicitis
  • Acute obstructive appendicitis
  • Acute phlegmonous appendicitis
  • Acute suppurative appendicitis
  • Complicated appendicitis
  • Gangrenous appendicitis
  • Large bowel gangrene
  • Purulent enteritis
  • Suppurative appendicitis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K35.80: its own notes plus those printed at Chapter 11. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Acute appendicitis NOS
  • Acute appendicitis without (localized) (generalized) peritonitis

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name K35.80, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming K35.80: they are not reported together with it, unless the two conditions are unrelated.

  • K65 Peritonitis
    peritonitis with or following appendicitis (K35.-) names K35.-, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG009
Appendicitis and other appendiceal conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Appendicitis

    acute inflammation of the vermiform appendix.

Patient EducationClinical

Appendicitis

The appendix is a small, tube-like organ attached to the first part of the large intestine. It is located in the lower right part of the abdomen. It has no known function. A blockage inside of the appendix causes appendicitis. The blockage leads to increased pressure, problems with blood flow, and inflammation.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K35.80 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
540.9 Acute appendicitis NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About K35.80Overview

What is the ICD-10 code for unspecified acute appendicitis?

The ICD-10-CM code for unspecified acute appendicitis is K35.80 (sometimes written as K3580). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is K35.80 (Other and unspecified acute appendicitis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified acute appendicitis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does K35.80 group to?

When unspecified acute appendicitis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 394, 395, 393, with relative weights from 0.6379 to 1.5877 depending on complications. Higher weights mean higher Medicare reimbursement.

Is K35.80 a CC or MCC?

CMS lists K35.80 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 24 closely related codes in its exclusion list.

What is the ICD-9 equivalent of K35.80?

Under the General Equivalence Mappings, unspecified acute appendicitis converts to ICD-9-CM 540.9 (acute appendicitis NOS). The mapping is approximate, so confirm the match fits the documentation.