N82.1

N82.1: Other female urinary-genital tract fistulae

Billable / specific codeICD-10-CM

N82.1 is a billable, specific ICD-10-CM code for other female urinary-genital tract fistulae. It is valid for submission on a claim.

Check N82.1 with the rest of the claim: free scrubber

Inclusion terms

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

Cervicovesical fistula
Ureterovaginal fistula
Urethrovaginal fistula
Uteroureteric fistula
Uterovesical fistula

Excludes1 inherited from the categories above N82.1

A category’s note binds every code beneath it.

Written on N82: Fistulae involving female genital tract

vesicointestinal fistulae (N32.1)

Other codes that can never be billed with N82.1

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

N32.2Vesical fistula, not elsewhere classified
N36.0Urethral fistula

Risk adjustment

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

Medicare coverage

N82.1 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56802Billing and Coding: Urodynamics
A57455Billing and Coding: Urodynamics

Alphabetic index entries that lead here

Fistula›cervicovesical
Fistula›ureterovaginal
Fistula›urethrovaginal
Fistula›uteroureteric
Fistula›uterovesical
Fistula›vesicocervicovaginal
Fistula›vesicoureterovaginal
Fistula›vesicouterine

Code history

Unchanged in every release from FY2024 to FY2027.