Is N82.1 a billable ICD-10-CM code?

Yes. N82.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N82.1 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).

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.

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

Other codes that can never be billed with N82.1

These codes carry an Excludes1 note pointing at N82.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N82.1 alone.

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

Risk adjustment

N82.1 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

N82.1 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.

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

How N82.1 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 N82.1.

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

Related codes at this level

Codes that share N82. If N82.1 is not quite right, the correct code is usually one of these.

Questions about N82.1

Is N82.1 a billable ICD-10-CM code?: Yes. N82.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N82.1 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).