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2025 ICD-10-CM code N82.1

Abnormal connections between the female urinary tract and other genital organs.

Code N82.1 is used for fistulae involving the female urinary tract and other parts of the female genital tract. Code N82.4 should be used for fistulae involving female intestinal tract and female genital tract.

Medical necessity for treatment depends on the severity of symptoms and potential complications like infections or impaired quality of life.Treatment aims to restore normal anatomical function and prevent complications.

Diagnosis and management of fistulae involving the female urinary and genital tracts falls under the purview of specialists like urogynecologists, gynecologists, and urologists.

In simple words: An abnormal opening between organs in the female urinary and reproductive systems.

This code encompasses various fistulae involving the female urinary and genital tracts, including cervicovesical, ureterovaginal, urethrovaginal, uteroureteric, and uterovesical fistulae. It excludes vesicointestinal fistulae (N32.1).

Example 1: A patient presents with continuous urinary leakage from the vagina following a hysterectomy. Upon examination, a ureterovaginal fistula is diagnosed., A patient with a history of cervical cancer experiences involuntary passage of urine through the vagina. A cervicovesical fistula is identified., A patient reports cyclical hematuria. Diagnostic tests reveal an uteroureteric fistula, where an abnormal connection exists between the uterus and a ureter.

Documentation should include the type and location of the fistula, related procedures or events (like surgery, childbirth, or radiation therapy), imaging studies (like cystography or CT scan), and clinical findings like urinary leakage, infection, or pain.

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