2025 ICD-10-CM code N82.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the genitourinary system - Fistulae involving female genital tract Chapter 14: Diseases of the genitourinary system Feed
Other female intestinal-genital tract fistulae; this code is used for abnormal connections between the female genital tract and the intestines.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., multiple procedures, bilateral involvement).Consult the latest modifier guidelines and NCCI edits for details.
Medical necessity is established by the presence of a symptomatic fistula requiring intervention.Symptoms may include vaginal discharge containing fecal matter, pelvic pain, recurrent infections, and bowel obstruction.The severity of symptoms and impact on the patient's quality of life should be documented.
Diagnosis and treatment of the fistula, including surgical repair if necessary, falls under the responsibility of a gynecologist or colorectal surgeon. Depending on the complexity and associated conditions, consultation with other specialists such as urologists or gastroenterologists may be required.
- Chapter 14: Diseases of the genitourinary system
- N80-N98 (Noninflammatory disorders of female genital tract)
In simple words: This code describes an unusual connection between a woman's reproductive organs and her intestines.It's used when the connection isn't one of the specific types already listed in medical codes.
N82.4, Other female intestinal-genital tract fistulae, is an ICD-10-CM code used to classify abnormal connections (fistulae) between the female genital organs and the intestines.This includes fistulae not specifically categorized elsewhere within the N82 code range. The diagnosis requires confirmation through appropriate imaging and/or surgical findings.The specific location and type of fistula (e.g., enterovaginal, colovaginal, rectovaginal) should be documented.This code excludes vesicointestinal fistulae (N32.1).
Example 1: A 45-year-old female presents with recurrent vaginal discharge and fecal material in the vagina.Imaging reveals a rectovaginal fistula.Code N82.4 is used., A 60-year-old female post-hysterectomy develops a fistula between the small intestine and the vagina. Code N82.4 is used, and the surgical procedure code would also be required., A 32-year-old female with Crohn's disease presents with a fistula between the sigmoid colon and the cervix. Code N82.4 is utilized, along with a code reflecting the Crohn's disease.
Detailed history and physical examination, imaging studies (e.g., MRI, CT scan, fistulogram), surgical findings (if applicable), and complete laboratory results.
** This code is primarily used for non-obstetric fistulae.Obstetric fistulae would generally be coded elsewhere, depending on the cause and location.Accurate documentation is critical for appropriate coding and reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Specialties:Gynecology, Colorectal Surgery
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center