Is N32.1 a billable ICD-10-CM code?

Yes. N32.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N32.1 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).

N32.1

N32.1 — Vesicointestinal fistula

Billable / specific codeICD-10-CM

N32.1 is a billable, specific ICD-10-CM code for vesicointestinal fistula. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Vesicorectal fistula

Other codes that can never be billed with N32.1

These codes carry an Excludes1 note pointing at N32.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N32.1 alone.

N82Fistulae involving female genital tract
K60.4Rectal fistula

Risk adjustment

N32.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

N32.1 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

How N32.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N32.1.

Fistula›colovesical
Fistula›enterovesical
Fistula›ileovesical
Fistula›intestinovesical
Fistula›rectovesical
Fistula›vesicocolic
Fistula›vesicoenteric
Fistula›vesicointestinal
Fistula›vesicorectal
Fistula›vesicosigmoidal
Fistula›vesicourethrorectal
Fistula›sigmoid›to bladder

Related codes at this level

Codes that share N32. If N32.1 is not quite right, the correct code is usually one of these.

Questions about N32.1

Is N32.1 a billable ICD-10-CM code?: Yes. N32.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N32.1 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).