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2025 ICD-10-CM code N82.8

Other female genital tract fistulae.

Do not use N82.8 if the fistula involves the urinary tract, intestines, or skin, as more specific codes within the N82 category exist for these conditions.N32.1 (vesicointestinal fistula) is specifically excluded.

Medical necessity for treatment of a female genital tract fistula depends on the severity of the symptoms, the impact on the patient's quality of life, and the potential for complications.Leakage, infection, pain, and psychological distress may justify intervention.

Diagnosis and management of the fistula, including surgical repair if necessary, falls under the purview of gynecologists and other specialists depending on the organs involved.

IMPORTANT:Consider other codes in the N82 category if the fistula involves the urinary tract (N82.0-N82.1), intestines (N82.2-N82.4), or skin (N82.5).If the specific site is unspecified, use N82.9.

In simple words: An abnormal passage or opening between the female genital organs and another organ or the skin, not otherwise specified.

Other female genital tract fistulae. This code encompasses fistulae involving the female genital tract that are not classified elsewhere, such as those not involving the urinary tract, intestines, or skin.

Example 1: A patient presents with leakage of urine from the vagina. After a thorough examination, including a dye test, it is determined she has a fistula between the vagina and an unspecified part of the female genital tract, not the bladder or urethra. N82.8 is used., A patient post-hysterectomy develops an abnormal connection between the vaginal cuff and another part of the female genital tract, resulting in unusual discharge. This connection is confirmed as a fistula not involving the urinary tract, intestines, or skin. N82.8 is used., A patient with a history of pelvic inflammatory disease develops a fistula between the uterus and an unspecified part of the female genital tract. It is confirmed that the fistula is not involving the urinary tract, intestines, or skin. N82.8 is applied.

Documentation should clearly specify the location of the fistula within the female genital tract, the organs involved, and any associated symptoms. Imaging studies, such as dye tests or fistulograms, should be included to confirm the diagnosis and delineate the fistula's path.

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