Congenital rectovaginal fistula
ICD-10 Q52.2 is a billable code used to indicate a diagnosis of congenital rectovaginal fistula.
Congenital rectovaginal fistula is a rare malformation characterized by an abnormal connection between the rectum and the vagina, which can lead to significant clinical complications. This condition is typically diagnosed in newborns and can be associated with other congenital anomalies, particularly those affecting the urogenital system. The presence of a rectovaginal fistula can result in fecal incontinence, recurrent urinary tract infections, and complications related to hygiene and social development. It is often part of a spectrum of disorders that may include other genital malformations such as hypospadias, cryptorchidism, and ambiguous genitalia. Surgical intervention is usually required to correct the fistula, and the timing of surgery can depend on the overall health of the infant and the presence of associated anomalies. Accurate coding of this condition is essential for appropriate management and reimbursement, as it can involve multidisciplinary care including pediatric surgery, urology, and gynecology.
Detailed documentation of the patient's birth history, associated congenital anomalies, and any surgical interventions performed.
Pediatric patients presenting with fecal incontinence, recurrent urinary tract infections, or during routine examinations for congenital anomalies.
Consideration of the patient's overall health and the timing of surgical interventions is crucial for accurate coding.
Genetic testing results, family history of congenital anomalies, and any syndromic associations should be documented.
Genetic counseling sessions for families with a history of congenital malformations or syndromes associated with rectovaginal fistula.
Understanding the genetic basis for associated anomalies can aid in comprehensive coding and management.
Used when surgical intervention is performed to correct the fistula.
Operative report detailing the procedure and any complications.
Pediatric surgeons should provide detailed documentation of the surgical approach and outcomes.
Common associated conditions include hypospadias, cryptorchidism, and other malformations of the urogenital tract. It is essential to document these conditions for accurate coding and management.
