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.

Check N32.1 with the rest of the claim: free scrubber

Inclusion terms

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

Vesicorectal fistula

Excludes2 inherited from the categories above N32.1

Not part of this code, but both may be coded when both are present.

Written on N32: Other disorders of bladder

calculus of bladder (N21.0)
cystocele (N81.1-)
hernia or prolapse of bladder, female (N81.1-)

Other codes that can never be billed with N32.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

K60.4Rectal fistula
N82Fistulae involving female genital tract

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N32.1 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.