ICD-10 Coding for Colouterine Fistula(K63.2, K57.32)
Complete ICD-10-CM coding and documentation guide for Colouterine Fistula. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colouterine Fistula
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K63.2 | Fistula of intestine | Use when a fistula between the colon and uterus is confirmed. |
|
| K57.32 | Diverticulitis of large intestine with perforation and abscess | Use when diverticulitis is the underlying cause of the fistula. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for colouterine fistula
Essential facts and insights about Colouterine Fistula
Primary ICD-10-CM Codes for colouterine fistula
Decision Criteria
clinical Criteria
- Presence of a confirmed fistula tract between the colon and uterus
Clinical Validation Requirements
- CT scan showing fistula tract between sigmoid colon and uterus
- Colonoscopy findings of fistula orifice
Code-Specific Risks
- Incorrect sequencing with underlying cause
- Omission of required imaging confirmation
Coding Notes
- Ensure documentation specifies the exact location and etiology of the fistula.
K57.32 - Diverticulitis of large intestine with perforation and abscess
Use when diverticulitis is the underlying cause of the fistula.
Applicable To
- Diverticulitis with fistula
Clinical Validation Requirements
- Imaging showing diverticular disease with perforation
Coding Notes
Must be sequenced before K63.2 when diverticulitis is the cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Diverticulitis of large intestine with perforation and abscess
K57.32Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Anal fistula
K60.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Colouterine Fistula to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K63.2.
Impact
Clinical: Leads to inaccurate diagnosis coding., Regulatory: Potential audit risk., Financial: May result in denied claims.
Mitigation Strategy
Ensure imaging reports are included in documentation, Verify imaging findings before coding
Impact
Reimbursement: Incorrect DRG assignment, affecting payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Sequence the underlying cause code before the fistula code.
Impact
Incorrect sequencing of fistula and underlying cause codes.
Mitigation Strategy
Educate coders on proper sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Colouterine Fistula, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colouterine Fistula
Use these documentation templates to ensure complete and accurate documentation for Colouterine Fistula. These templates include all required elements for proper coding and billing.
Surgical repair of colouterine fistula
Specialty: SurgeryRequired Elements
- Location of fistula
- Etiology
- Imaging confirmation
- Surgical findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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