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2025 ICD-10-CM code N82.9

Unspecified fistula involving the female genital tract.

Code N82.9 should only be used when the specific site of the fistula cannot be determined.If more specific information becomes available, the code should be updated accordingly.It is important to distinguish genital tract fistulae (N82) from other types of fistulae, such as vesicointestinal fistulae (N32.1), which are excluded from this category.

Medical necessity for treatment of a fistula is established by the impact on the patient's quality of life and potential complications.Leakage of urine or feces can lead to skin irritation, infections, and psychological distress.Surgical repair or other interventions are often necessary to restore normal function and prevent these issues.

Diagnosis and treatment of female genital tract fistulae typically falls under the purview of gynecologists, urogynecologists, or colorectal surgeons, depending on the specific location and type of fistula.

In simple words: An abnormal connection or opening in the female genital tract, the location of which is not specified.

Female genital tract fistula, unspecified

Example 1: A patient presents with continuous leakage of urine from the vagina. After examination and imaging, it is determined she has a fistula between the bladder and vagina, but the precise location is unclear, thus N82.9 is used., A patient experiences fecal incontinence through the vagina following pelvic surgery. Diagnostic tests reveal a fistula between the vagina and an unspecified part of the intestine, making N82.9 appropriate., A patient develops an abnormal opening on the skin of the vulva, with drainage. Further investigation reveals it connects to an unidentified part of the genital tract, so N82.9 is assigned until the specific site is determined.

Documentation should clearly describe the fistula's presence, including the symptoms, physical exam findings, and results of any imaging or diagnostic procedures.The lack of specific location information should be explicitly noted, justifying the use of the unspecified code.

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