Vesicointestinal fistula
ICD-10 N32.1 is a billable code used to indicate a diagnosis of vesicointestinal fistula.
A vesicointestinal fistula is an abnormal connection between the urinary bladder and the intestine, which can lead to significant clinical complications. This condition often arises as a result of chronic inflammatory diseases, malignancies, or surgical interventions that compromise the integrity of the bladder and intestinal walls. Patients may present with symptoms such as recurrent urinary tract infections, fecaluria (the presence of fecal matter in the urine), and urinary incontinence. The diagnosis typically involves imaging studies, such as CT scans or cystography, to visualize the fistula and assess its extent. Management may require surgical intervention to repair the fistula and address any underlying conditions contributing to its formation. The presence of a vesicointestinal fistula can complicate existing bladder disorders, such as cystitis or neurogenic bladder, and may exacerbate bladder dysfunction, leading to increased urinary incontinence. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.
Detailed clinical notes on urinary symptoms, imaging results, and treatment plans.
Patients presenting with recurrent UTIs, fecaluria, or urinary incontinence.
Ensure clear documentation of the fistula's characteristics and any surgical interventions performed.
Comprehensive assessment of gastrointestinal symptoms and history of bowel disease.
Patients with inflammatory bowel disease or post-surgical complications presenting with urinary symptoms.
Document any relevant bowel pathology that may contribute to the fistula formation.
Used for diagnosis and potential repair of vesicointestinal fistula.
Document indications for cystourethroscopy and findings.
Urology specialists should ensure comprehensive documentation of the procedure.
Common symptoms include recurrent urinary tract infections, fecaluria, and urinary incontinence. Patients may also experience abdominal pain or discomfort.
