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v1.0.0
ICD-10 Guide
ICD-10 CodesN82.8

N82.8

Billable

Other female genital tract fistulae

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

Code Description

ICD-10 N82.8 is a billable code used to indicate a diagnosis of other female genital tract fistulae.

Key Diagnostic Point:

N82.8 refers to various types of fistulae that can occur in the female genital tract, excluding those specifically classified under other codes. Fistulae are abnormal connections between two epithelial surfaces, which can arise due to various conditions such as endometriosis, pelvic inflammatory disease, or surgical complications. In the context of endometriosis, fistulae may develop as a result of chronic inflammation and tissue damage, leading to abnormal connections between the uterus, ovaries, and other pelvic structures. Female genital prolapse can also contribute to the formation of fistulae, particularly when the pelvic support structures weaken, allowing for abnormal connections to form. Ovarian disorders, such as cysts or tumors, may lead to fistulae if they erode into adjacent structures. Additionally, polyps in the female genital tract can create pathways for fistula formation if they become necrotic or infected. Accurate diagnosis and coding of these conditions are crucial for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to fistulae
  • Need for detailed clinical documentation to establish the cause
  • Differentiation from other types of fistulae (e.g., urinary, gastrointestinal)
  • Potential for multiple co-existing conditions

Audit Risk Factors

  • Inadequate documentation of the underlying cause of the fistula
  • Failure to specify the type of fistula when coding
  • Lack of clarity in the clinical scenario leading to the fistula
  • Misclassification of the fistula type

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes on the patient's history, examination findings, and diagnostic imaging results.

Common Clinical Scenarios

Patients presenting with pelvic pain, abnormal bleeding, or signs of infection.

Billing Considerations

Ensure that all relevant diagnostic tests and imaging studies are documented to support the diagnosis.

Urology

Documentation Requirements

Comprehensive records of urinary function tests and any surgical history related to the urinary tract.

Common Clinical Scenarios

Patients with urinary incontinence or recurrent urinary tract infections.

Billing Considerations

Document any surgical interventions that may have contributed to the development of the fistula.

Coding Guidelines

Inclusion Criteria

Use N82.8 When
  • According to ICD
  • 10 guidelines, N82
  • 8 should be used when the specific type of female genital tract fistula is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that the fistula is not a result of a condition that has its own specific code

Exclusion Criteria

Do NOT use N82.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with fulguration of endometriosis

Clinical Scenario

Used when treating endometriosis that may lead to fistula formation.

Documentation Requirements

Document the extent of endometriosis and any associated fistulae.

Specialty Considerations

Obstetricians and gynecologists should ensure that all findings are clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like female genital tract fistulae, improving the accuracy of diagnoses and treatment planning. N82.8 provides a broader classification that can capture various underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like female genital tract fistulae, improving the accuracy of diagnoses and treatment planning. N82.8 provides a broader classification that can capture various underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like female genital tract fistulae, improving the accuracy of diagnoses and treatment planning. N82.8 provides a broader classification that can capture various underlying causes.

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 female genital tract fistulae?

Common causes include surgical complications, chronic inflammatory conditions like endometriosis, pelvic inflammatory disease, and malignancies.

How can I differentiate between types of fistulae?

Differentiation can be made based on the anatomical structures involved, such as vesicovaginal or urethrovaginal, and the clinical presentation.