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2025 ICD-10-CM code N82.2

An abnormal connection (fistula) between the vagina and small intestine.

Code selection should accurately reflect the specific type of fistula and its location.Consult the complete ICD-10-CM coding guidelines for further detail.

Modifiers may be applicable depending on the circumstances of the procedure. Consult appropriate coding guidelines for modifier usage.

Medical necessity is established when the fistula causes significant symptoms, such as fecal incontinence, recurrent infections, or bowel obstruction that requires surgical or other intervention for correction.Documentation should support the clinical indication for the procedure.

Gynecologists and colorectal surgeons may be involved in the diagnosis and management of this condition, depending on the cause and extent of the fistula.

IMPORTANT:N82 (Fistulae involving female genital tract) encompasses several types of fistulas involving the female genital tract.Related codes include N82.0 (Vesicovaginal fistula), N82.1 (Other female urinary-genital tract fistulae), N82.3 (Fistula of vagina to large intestine), N82.4 (Other female intestinal-genital tract fistulae), N82.5 (Female genital tract-skin fistulae), N82.8 (Other female genital tract fistulae), and N82.9 (Female genital tract fistula, unspecified).

In simple words: This code describes an abnormal opening between the vagina and the small intestine. This opening can happen after an injury or surgery, or for other reasons. It might cause vaginal discharge, stomach pain, or problems with bowel movements.

N82.2, Fistula of vagina to small intestine, denotes an abnormal communication or passage (fistula) that has formed between the vagina and the small intestine. This fistula can result from various causes, including surgery, trauma, or inflammatory processes.The condition may present with symptoms such as vaginal discharge, abdominal pain, or bowel dysfunction.Accurate diagnosis typically involves physical examination, imaging studies (such as fistulography), and possibly endoscopy.

Example 1: A 45-year-old female patient presents with a history of pelvic inflammatory disease and complains of foul-smelling vaginal discharge and intermittent fecal incontinence. Physical examination reveals a fistula tract between the vagina and the small intestine, confirmed by fistulography.The patient is scheduled for surgical repair., A 60-year-old female patient underwent a hysterectomy six weeks ago.She reports new-onset vaginal discharge containing fecal matter. Examination confirms a fistula between the vagina and sigmoid colon, requiring surgical intervention., A 28-year-old female patient sustained a traumatic pelvic injury in a motor vehicle accident.Post-trauma imaging reveals a fistula between the vagina and the small bowel, necessitating surgical repair.

Complete patient history, including symptoms, prior surgeries, and relevant medical conditions.Physical examination findings. Imaging studies, such as fistulography, CT scan, or MRI to confirm the fistula's location and extent.Surgical or procedural reports if intervention occurred.

** The severity and management of a fistula of vagina to small intestine vary greatly depending on its size, location, and underlying cause.Conservative management (e.g., bowel rest, antibiotics) may be attempted in some cases, while surgical repair is often necessary.

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