ICD-10 code for Rectovesical fistula

The ICD-10-CM code for Rectovesical fistula is N32.1 (Vesicointestinal fistula). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on N32.1.

Within N32 (other disorders of bladder), N32.1 is specifically for Vesicointestinal fistula. Related codes cover Bladder-neck obstruction (N32.0), Vesical fistula, not elsewhere classified (N32.2), diverticulum of bladder (N32.3), other specified disorders of bladder (N32.8) and bladder disorder, unspecified (N32.9).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC, relative weight 1.6398), DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC, relative weight 1.0003), DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC, relative weight 0.6741), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.