ICD-10 Coding for Colovesical Fistula(N32.1)
Complete ICD-10-CM coding and documentation guide for Colovesical Fistula. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Colovesical Fistula
N32-N39Primary Range
Other disorders of urinary system
This range includes codes for various urinary system disorders, including vesicointestinal fistula, which encompasses colovesical fistula.
Diseases of the intestine
This range includes codes for intestinal diseases that may be related to or cause fistulas.
Key Information: ICD-10 code for colovesical fistula
Essential facts and insights about Colovesical Fistula
Primary ICD-10-CM Code for colovesical fistula
Decision Criteria
clinical Criteria
- Confirmed fistula between the colon and bladder
documentation Criteria
- Explicit mention of 'colovesical fistula' in medical records
Applicable To
- Colovesical fistula
Excludes
- Vesicovaginal fistula (N82.0)
Clinical Validation Requirements
- CT scan showing air in the bladder
- Cystoscopy confirming fistula site
- Positive urine culture for specific organisms
Code-Specific Risks
- Incorrect sequencing with infection codes
- Omitting organism codes when infection is present
Coding Notes
- Ensure documentation specifies the fistula's anatomical location and any associated infections.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified Escherichia coli as the cause of diseases classified elsewhere
B96.20Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Vesical fistula NEC
N32.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Colovesical Fistula to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N32.1.
Impact
Clinical: Leads to misinterpretation of the condition., Regulatory: Non-compliance with documentation standards., Financial: Potential denial of claims.
Mitigation Strategy
Use specific anatomical terms, Include imaging and surgical findings
Impact
Reimbursement: Incorrect sequencing can lead to reduced reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Sequence the infection code after the primary fistula code.
Impact
Using incorrect codes for fistula types can lead to audits.
Mitigation Strategy
Ensure thorough documentation and code verification.
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 Colovesical Fistula, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Colovesical Fistula
Use these documentation templates to ensure complete and accurate documentation for Colovesical Fistula. These templates include all required elements for proper coding and billing.
Post-operative documentation for fistula repair
Specialty: SurgeryRequired Elements
- Fistula location
- Procedure details
- Post-operative findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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