Other female intestinal-genital tract fistulae
ICD-10 N82.4 is a billable code used to indicate a diagnosis of other female intestinal-genital tract fistulae.
N82.4 refers to other types of fistulae that occur between the female genital tract and the intestinal tract. These fistulae can arise from various conditions, including endometriosis, which can lead to the formation of abnormal connections between the uterus and the intestines. Female genital prolapse may also contribute to the development of fistulae due to the displacement of pelvic organs, which can create pressure and lead to tissue breakdown. Ovarian disorders, such as ovarian cysts or tumors, can also result in fistulous connections if they erode into adjacent structures. Additionally, polyps in the female genital tract may cause obstruction or inflammation, potentially leading to fistula formation. The clinical presentation of these fistulae can vary, including symptoms such as abnormal vaginal discharge, fecal incontinence, or pelvic pain. Diagnosis typically involves imaging studies and clinical evaluation to determine the extent and nature of the fistula, as well as the underlying conditions contributing to its formation.
Detailed clinical notes on the patient's history, examination findings, and imaging results are essential.
Management of endometriosis-related fistulae, evaluation of pelvic organ prolapse, and treatment of ovarian cysts.
Ensure that all relevant gynecological conditions are documented to support the diagnosis of N82.4.
Documentation of gastrointestinal evaluations, imaging studies, and surgical interventions is critical.
Assessment of fistulae resulting from inflammatory bowel disease or surgical complications.
Collaboration with gynecologists may be necessary for comprehensive management.
Used when treating endometriosis that may lead to fistula formation.
Operative reports detailing the extent of endometriosis and any fistula repair performed.
Gynecologists should ensure comprehensive documentation of findings and procedures.
Common causes include endometriosis, pelvic inflammatory disease, surgical complications, and malignancies affecting the reproductive or gastrointestinal tracts.
Accurate coding requires thorough documentation of the patient's clinical history, imaging results, and any associated conditions that may contribute to the fistula.