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2025 ICD-10-CM code N82.0

Vesicovaginal fistula. This is an abnormal opening between the bladder and the vagina.

Code N82.0 should be used for a fistula between the bladder and vagina. Other fistulas involving the female genital tract are classified under N82.1-N82.8.

Medical necessity for treatment is established by the presence of a vesicovaginal fistula causing significant impairment in quality of life due to uncontrolled urine leakage. Treatment aims to restore normal bladder and vaginal function and prevent complications like infections.

Diagnosis and treatment of vesicovaginal fistulas typically falls under the purview of urogynecologists, urologists, or gynecologists with specialized training in pelvic reconstructive surgery.

In simple words: A vesicovaginal fistula is an abnormal connection between the bladder and the vagina, causing urine to leak uncontrollably through the vagina.

Vesicovaginal fistula

Example 1: A 45-year-old female presents with continuous leakage of urine from her vagina following a recent hysterectomy. Examination reveals a vesicovaginal fistula., A 28-year-old female experiences prolonged and obstructed labor, resulting in a vesicovaginal fistula. She reports constant urinary incontinence., A 60-year-old female with a history of cervical cancer treated with radiation therapy develops a vesicovaginal fistula, experiencing involuntary urine leakage.

Documentation should include the location and size of the fistula, the onset and duration of symptoms, associated symptoms like infections or irritation, and any prior pelvic surgeries, radiation, or trauma.

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