ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN82.1

N82.1

Billable

Other female urinary-genital tract fistulae

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N82.1 is a billable code used to indicate a diagnosis of other female urinary-genital tract fistulae.

Key Diagnostic Point:

N82.1 refers to various types of urinary-genital tract fistulae in females that do not fall under more specific categories. These fistulae can arise from several underlying conditions, including endometriosis, which may lead to the formation of abnormal connections between the urinary tract and the genital tract. Female genital prolapse can also contribute to the development of fistulae, particularly in cases where the pelvic support structures are compromised. Ovarian disorders, such as cysts or tumors, may also lead to fistula formation if they erode into adjacent structures. Additionally, polyps in the female genital tract can create pathways for abnormal connections, resulting in urinary-genital tract fistulae. The clinical presentation may include urinary incontinence, recurrent urinary tract infections, and abnormal vaginal discharge. Diagnosis typically involves imaging studies and cystoscopy, while management may require surgical intervention to repair the fistula and address any underlying conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to fistulae
  • Need for precise documentation of the type and location of the fistula
  • Potential for multiple comorbidities complicating the diagnosis
  • Variability in clinical presentation and symptoms

Audit Risk Factors

  • Inadequate documentation of the fistula type and cause
  • Failure to document associated conditions like endometriosis or prolapse
  • Misclassification of the fistula type
  • Lack of imaging or procedural documentation to support the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed descriptions of the fistula's location, size, and associated symptoms.

Common Clinical Scenarios

Management of urinary incontinence due to fistulae, surgical repair of fistulae.

Billing Considerations

Urologists must document any prior surgeries or conditions that may have contributed to the fistula.

Gynecology

Documentation Requirements

Comprehensive history of pelvic conditions, including endometriosis and prolapse.

Common Clinical Scenarios

Evaluation and treatment of pelvic organ prolapse leading to fistula formation.

Billing Considerations

Gynecologists should ensure that all relevant pelvic examinations and imaging studies are documented.

Coding Guidelines

Inclusion Criteria

Use N82.1 When
  • According to ICD
  • 10 coding guidelines, N82
  • 1 should be used when the specific type of urinary
  • genital tract fistula is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use N82.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

57260CPT Code

Repair of vesicovaginal fistula

Clinical Scenario

Used when surgical intervention is performed to repair a fistula.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Urologists and gynecologists must document the type of fistula and any associated conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of urinary-genital tract fistulae, improving the accuracy of data collection and reimbursement processes. N82.1 captures a broader range of conditions, necessitating careful documentation to ensure appropriate coding.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urinary-genital tract fistulae, improving the accuracy of data collection and reimbursement processes. N82.1 captures a broader range of conditions, necessitating careful documentation to ensure appropriate coding.

Reimbursement & Billing Impact

reimbursement processes. N82.1 captures a broader range of conditions, necessitating careful documentation to ensure appropriate coding.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of urinary-genital tract fistulae?

Common causes include endometriosis, pelvic organ prolapse, surgical complications, and malignancies affecting the pelvic region.

How can I differentiate between types of fistulae?

Differentiation is based on the anatomical location and the underlying cause, which should be clearly documented in the medical record.