Is N32.2 a billable ICD-10-CM code?

Yes. N32.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N32.2 sit in the tabular list?

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

What cannot be coded together with N32.2?

N32.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

N32.2

N32.2 — Vesical fistula, not elsewhere classified

Billable / specific codeICD-10-CM

N32.2 is a billable, specific ICD-10-CM code for vesical fistula, not elsewhere classified. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

fistula between bladder and female genital tract (N82.0-N82.1)

Excludes2 inherited from the categories above N32.2

Also inherited, and the opposite of Excludes1: these conditions are not part of N32.2, but a patient can have both, so you may code both.

Written on N32 — Other disorders of bladder

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

Risk adjustment

N32.2 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.

How N32.2 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 N32.2.

Fistula›abdominovesical
Fistula›bladder NEC(sphincter)
Fistula›ureterovesical
Fistula›urethroperineovesical
Fistula›urethrovesical
Fistula›vesical NEC
Fistula›vesicoabdominal
Fistula›vesicocutaneous
Fistula›vesicoperineal
Fistula›vesicoureteral
Fistula›vesicourethral
Fistula›abdomen›bladder

Code history

N32.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share N32. If N32.2 is not quite right, the correct code is usually one of these.

Questions about N32.2

Is N32.2 a billable ICD-10-CM code?: Yes. N32.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N32.2 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).
What cannot be coded together with N32.2?: N32.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.