N82.0 — Vesicovaginal fistula
N82.0 is a billable, specific ICD-10-CM code for vesicovaginal fistula. It is valid for submission on a claim.
Other codes that can never be billed with N82.0
These codes carry an Excludes1 note pointing at N82.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N82.0 alone.
- N32.2Vesical fistula, not elsewhere classified
Risk adjustment
N82.0 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
N82.0 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.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56802Billing and Coding: Urodynamics
- A57455Billing and Coding: Urodynamics
How N82.0 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 N82.0.
- Fistula›vesicovaginal
Related codes at this level
Codes that share N82. If N82.0 is not quite right, the correct code is usually one of these.
- N82.1Other female urinary-genital tract fistulae
- N82.2Fistula of vagina to small intestine
- N82.3Fistula of vagina to large intestine
- N82.4Other female intestinal-genital tract fistulae
- N82.5Female genital tract-skin fistulae
- N82.8Other female genital tract fistulae
- N82.9Female genital tract fistula, unspecified
Questions about N82.0
- Is N82.0 a billable ICD-10-CM code?
- Yes. N82.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N82.0 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).