ICD-10 code for Vesicouterine fistula

The ICD-10-CM code for Vesicouterine fistula is N82.1 (Other female urinary-genital tract fistulae). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on N82.1.

Within N82, choose N82.1 (Other female urinary-genital tract fistulae) only when documentation doesn't support a more specific option: Vesicovaginal fistula (N82.0), fistula of vagina to small intestine (N82.2), fistula of vagina to large intestine (N82.3), other female intestinal-genital tract fistulae (N82.4), female genital tract-skin fistulae (N82.5), other female genital tract fistulae (N82.8) and female genital tract fistula, unspecified (N82.9).

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 742 (Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC, relative weight 1.8456), DRG 743 (Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC, relative weight 1.2974), DRG 760 (Menstrual and Other Female Reproductive System Disorders with CC/MCC, relative weight 1.0129) and DRG 761 (Menstrual and Other Female Reproductive System Disorders without CC/MCC, relative weight 0.7041), in MDC 13 (Diseases and Disorders of the Female Reproductive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.