October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

K35 Acute appendicitis

All 13 codes in the K35 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

13

Can lead a claim

13

Cannot lead a claim

0

What CMS assigns to K35

All 13 codes group to MMTA - Gastrointestinal tract and Genitourinary system. None of the 13 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in K35

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K35.2 Acute appendicitis with generalized peritonitis
K35.20 Acute appendicitis with generalized peritonitis, without abscess
K35.200Acute appendicitis with generalized peritonitis, without perforation or abscessCMS: Acute appendicitis with gen peritonitis, w/o perf or abscsCan lead a claimJNone
K35.201Acute appendicitis with generalized peritonitis, with perforation, without abscessCMS: Ac appendicitis with gen peritonitis, with perf, w/o abscsCan lead a claimJNone
K35.209Acute appendicitis with generalized peritonitis, without abscess, unspecified as to perforationCMS: Ac appendicitis w gen peritonitis,w/o abscs,unsp as to perfCan lead a claimJNone
K35.21 Acute appendicitis with generalized peritonitis, with abscess
K35.210Acute appendicitis with generalized peritonitis, without perforation, with abscessCMS: Ac appendicitis with gen peritonitis, w/o perf, with abscsCan lead a claimJNone
K35.211Acute appendicitis with generalized peritonitis, with perforation and abscessCMS: Acute appendicitis with gen peritonitis, with perf and abscsCan lead a claimJNone
K35.219Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforationCMS: Ac appendicitis w gen peritonitis, w abscs, unsp as to perfCan lead a claimJNone
K35.3 Acute appendicitis with localized peritonitis
K35.30Acute appendicitis with localized peritonitis, without perforation or gangreneCMS: Acute appendicitis with loc peritonitis, w/o perf or gangrCan lead a claimJNone
K35.31Acute appendicitis with localized peritonitis and gangrene, without perforationCMS: Acute appendicitis with loc peritonitis and gangr, w/o perfCan lead a claimJNone
K35.32Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscessCMS: Ac appendicitis w perf, loc peritonitis, & gangr, w/o abscsCan lead a claimJNone
K35.33Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscessCMS: Ac appendicitis with perf, loc peritonitis, and gangr, wbscsCan lead a claimJNone
K35.8 Other and unspecified acute appendicitis
K35.80Unspecified acute appendicitisCan lead a claimJNone
K35.89 Other acute appendicitis
K35.890Other acute appendicitis without perforation or gangreneCan lead a claimJNone
K35.891Other acute appendicitis without perforation, with gangreneCan lead a claimJNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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