2025 ICD-10-CM code N82.3
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Noninflammatory disorders of female genital tract - Fistulae involving female genital tract Diseases of the genitourinary system (N00-N99) Feed
Fistula between the vagina and large intestine (rectovaginal fistula).
Modifiers may be applicable depending on the circumstances of the service. Consult the official guidelines for modifier usage.
Medical necessity is established by the presence of a symptomatic rectovaginal fistula impacting the patient's quality of life.The severity of symptoms, the extent of the fistula, and the presence of underlying conditions dictate the need for intervention, including surgical repair.Documentation of these factors is crucial for reimbursement.
Gynecologist, colorectal surgeon, or other relevant specialist depending on the cause and complexity of the fistula.
In simple words: An abnormal connection develops between the vagina and the large intestine, allowing intestinal contents like gas or stool to leak into the vagina. This can cause pain, unusual vaginal discharge, and leakage of stool.
N82.3, Fistula of vagina to large intestine, signifies an abnormal communication or opening (fistula) between the vagina and the large intestine (colon or rectum).This can result from various causes, including trauma, surgery, inflammation, or other underlying conditions.The fistula allows for passage of intestinal contents, gas, or fluids into the vagina, often causing symptoms such as pain, vaginal discharge, and fecal incontinence.
Example 1: A post-operative patient develops a rectovaginal fistula following a hysterectomy. The fistula is identified during a follow-up examination and confirmed with imaging studies. This case necessitates surgical repair., A patient presents with chronic pelvic pain, vaginal discharge with fecal odor, and symptoms of fecal incontinence.Imaging reveals a rectovaginal fistula likely caused by diverticulitis.The patient requires both medical management of the diverticulitis and surgical fistula repair., A patient with Crohn's disease experiences recurrent abscesses in the perineal region, leading to the development of a rectovaginal fistula. This situation would need a multidisciplinary approach, involving gastroenterology and colorectal surgery for medical management and surgical repair, respectively.
Complete history and physical exam documenting symptoms, imaging studies (e.g., MRI, CT, fistulography) confirming the fistula's presence and location, operative notes if surgical repair was performed, pathology reports if applicable, and any relevant diagnostic tests related to underlying causes.
** Accurate coding requires detailed documentation of the fistula's location, extent, and associated symptoms, as well as any underlying conditions.The use of imaging studies to confirm the diagnosis and guide treatment is essential.
- Payment Status: Active
- Modifier TC rule: TC modifier application is dependent on the procedural details.If applicable, refer to the CPT code instructions for correct application.
- Specialties:Gynecology, Colorectal Surgery, Gastroenterology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center