ICD-10 Coding for Colovaginal Fistula(N82.3)
Complete ICD-10-CM coding and documentation guide for Colovaginal Fistula. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colovaginal Fistula
N82-N82.9Primary Range
Fistulae involving female genital tract
This range includes codes for fistulae involving the vagina and other parts of the female genital tract.
Complications of surgical and medical care
Used when the fistula is a complication of surgery.
Key Information: ICD-10 code for colovaginal fistula
Essential facts and insights about Colovaginal Fistula
Primary ICD-10-CM Code for colovaginal fistula
Decision Criteria
clinical Criteria
- Fistula tract confirmed between vagina and large intestine.
documentation Criteria
- Documented history of prior hysterectomy or diverticulitis.
Applicable To
- Rectovaginal fistula involving colon
Clinical Validation Requirements
- Fistula tract visualized between sigmoid colon/descending colon and vaginal apex
- Passage of stool/flatus per vagina
- Prior hysterectomy
Code-Specific Risks
- Incorrectly coding as K63.2 without genital tract involvement.
Coding Notes
- Ensure documentation specifies the exact anatomical location and etiology of the fistula.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Colovaginal Fistula to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N82.3.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the cause of the fistula.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Confirm genital tract involvement in operative report.
Impact
Missing details on fistula location or etiology.
Mitigation Strategy
Implement thorough documentation checklists.
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 Colovaginal Fistula, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colovaginal Fistula
Use these documentation templates to ensure complete and accurate documentation for Colovaginal Fistula. These templates include all required elements for proper coding and billing.
Gynecology Progress Note
Specialty: GynecologyRequired Elements
- Speculum exam findings
- Imaging results
- Surgical history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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