Resolved Colouterine fistula

[MaryW_64032]

Colouterine fistula would you code to N828 or N82.3? Thank you

 

[Lori]

N82.3 fistula of vagina to large intestine.
N82.2 if it is the small intestine.
N82.8 if you do not know which.
N82.9 is unspecified

The ICD-10-CM code N82. 3 might also be used to specify conditions or terms like colovaginal fistula or fistula of vagina to large intestine or intestinovaginal fistula or rectovaginal fistula or sigmoidovaginal fistula. The code N82. 3 is applicable to female patients only.

If its an incidental finding you cant bill separately, its bundled.

Per NCCI:

If an excised section of intestine includes a fistula tract, a fistula closure code should not be reported separately. Closure of the fistula is included in the excision of intestine. the closure of fistula is included in sigmoid resection............see ncci policy manual .Chapter 6

A case report of colouterine fistula due to colonic diverticulitis: a rare complication - Egyptian Journal of Radiology and Nuclear Medicine

Background Colouterine fistula is a very rare entity because of the sturdy and muscular nature of the uterus. Due to the rarity of this condition and nonspecific clinical findings, it poses a diagnostic challenge to treating physicians. Case presentation Here, we report a case of a 64-year-old...

ejrnm.springeropen.com

 

[MaryW_64032]

N82.3 fistula of vagina to large intestine.
N82.2 if it is the small intestine.
N82.8 if you do not know which.
N82.9 is unspecified

The ICD-10-CM code N82. 3 might also be used to specify conditions or terms like colovaginal fistula or fistula of vagina to large intestine or intestinovaginal fistula or rectovaginal fistula or sigmoidovaginal fistula. The code N82. 3 is applicable to female patients only.

If its an incidental finding you cant bill separately, its bundled.

Per NCCI:

A case report of colouterine fistula due to colonic diverticulitis: a rare complication - Egyptian Journal of Radiology and Nuclear Medicine

Background Colouterine fistula is a very rare entity because of the sturdy and muscular nature of the uterus. Due to the rarity of this condition and nonspecific clinical findings, it poses a diagnostic challenge to treating physicians. Case presentation Here, we report a case of a 64-year-old...

ejrnm.springeropen.com

pt is female and not an incidental finding so it looks like N82.3 would be appropriate? Thank you