1. 2023 ICD-10-CM Index
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2. 'F' Terms
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3. Index Terms Starting With 'F' (Fistula)

Index Terms Starting With 'F' (Fistula)

• Fistula (cutaneous) L98.8

  ICD-10-CM Diagnosis Code L98.8

  Other specified disorders of the skin and subcutaneous tissue

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  • abdomen (wall) K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
    • bladder N32.2
      ICD-10-CM Diagnosis Code N32.2

      Vesical fistula, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Type 1 Excludes

      • fistula between bladder and female genital tract (N82.0-N82.1)
    • intestine NEC K63.2
      ICD-10-CM Diagnosis Code K63.2

      Fistula of intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Type 1 Excludes

      • fistula of duodenum (K31.6)
      • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
      • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

      Type 2 Excludes

      • fistula of anal and rectal regions (K60.-)
      • fistula of appendix (K38.3)
      • intestinal-genital fistula, female (N82.2-N82.4)
      • vesicointestinal fistula (N32.1)
    • ureter N28.89
      ICD-10-CM Diagnosis Code N28.89

      Other specified disorders of kidney and ureter

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • uterus N82.5
      ICD-10-CM Diagnosis Code N82.5

      Female genital tract-skin fistulae

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Uterus to abdominal wall fistula
      • Vaginoperineal fistula
  • abdominorectal K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • abdominosigmoidal K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • abdominothoracic J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • abdominouterine N82.5
    ICD-10-CM Diagnosis Code N82.5

    Female genital tract-skin fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Uterus to abdominal wall fistula
    • Vaginoperineal fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • abdominovesical N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • accessory sinuses - see Sinusitis
  • actinomycotic - see Actinomycosis
  • alveolar antrum - see Sinusitis, maxillary
  • alveolar process K04.6
    ICD-10-CM Diagnosis Code K04.6

    Periapical abscess with sinus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Dental abscess with sinus
    • Dentoalveolar abscess with sinus
  • anorectal K60.5
    ICD-10-CM Diagnosis Code K60.5

    Anorectal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • antrobuccal - see Sinusitis, maxillary
  • antrum - see Sinusitis, maxillary
  • anus, anal (recurrent) (infectional) K60.3
    ICD-10-CM Diagnosis Code K60.3

    Anal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • congenital Q43.6
      ICD-10-CM Diagnosis Code Q43.6

      Congenital fistula of rectum and anus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Type 1 Excludes

      • congenital fistula of anus with absence, atresia and stenosis (Q42.2)
      • congenital fistula of rectum with absence, atresia and stenosis (Q42.0)
      • congenital rectovaginal fistula (Q52.2)
      • congenital urethrorectal fistula (Q64.73)
      • pilonidal fistula or sinus (L05.-)
      • with absence, atresia and stenosis Q42.2
        ICD-10-CM Diagnosis Code Q42.2

        Congenital absence, atresia and stenosis of anus with fistula

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • tuberculous A18.32
      ICD-10-CM Diagnosis Code A18.32

      Tuberculous enteritis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculosis of anus and rectum
      • Tuberculosis of intestine (large) (small)
  • aorta-duodenal I77.2
    ICD-10-CM Diagnosis Code I77.2

    Rupture of artery

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Erosion of artery
    • Fistula of artery
    • Ulcer of artery

    Type 1 Excludes

    • traumatic rupture of artery - see injury of blood vessel by body region
  • appendix, appendicular K38.3
    ICD-10-CM Diagnosis Code K38.3

    Fistula of appendix

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • arteriovenous (acquired) (nonruptured) I77.0
    ICD-10-CM Diagnosis Code I77.0

    Arteriovenous fistula, acquired

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Aneurysmal varix
    • Arteriovenous aneurysm, acquired

    Type 1 Excludes

    • arteriovenous aneurysm NOS (Q27.3-)
    • presence of arteriovenous shunt (fistula) for dialysis (Z99.2)
    • traumatic - see injury of blood vessel by body region

    Type 2 Excludes

    • cerebral (I67.1)
    • coronary (I25.4)
    • brain I67.1
      ICD-10-CM Diagnosis Code I67.1

      Cerebral aneurysm, nonruptured

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cerebral aneurysm NOS
      • Cerebral arteriovenous fistula, acquired
      • Internal carotid artery aneurysm, intracranial portion
      • Internal carotid artery aneurysm, NOS

      Type 1 Excludes

      • congenital cerebral aneurysm, nonruptured (Q28.-)
      • ruptured cerebral aneurysm (I60.7)
      • congenital Q28.2
        ICD-10-CM Diagnosis Code Q28.2

        Arteriovenous malformation of cerebral vessels

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Arteriovenous malformation of brain NOS
        • Congenital arteriovenous cerebral aneurysm (nonruptured)
        • ruptured - see Fistula, arteriovenous, brain, ruptured
      • ruptured I60.8
        ICD-10-CM Diagnosis Code I60.8

        Other nontraumatic subarachnoid hemorrhage

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Meningeal hemorrhage
        • Rupture of cerebral arteriovenous malformation
        • intracerebral I61.8
          ICD-10-CM Diagnosis Code I61.8

          Other nontraumatic intracerebral hemorrhage

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • intraparenchymal I61.8
          ICD-10-CM Diagnosis Code I61.8

          Other nontraumatic intracerebral hemorrhage

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • intraventricular I61.5
          ICD-10-CM Diagnosis Code I61.5

          Nontraumatic intracerebral hemorrhage, intraventricular

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • subarachnoid I60.8
          ICD-10-CM Diagnosis Code I60.8

          Other nontraumatic subarachnoid hemorrhage

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Meningeal hemorrhage
          • Rupture of cerebral arteriovenous malformation
    • cerebral - see Fistula, arteriovenous, brain
    • congenital (peripheral) - see also Malformation, arteriovenous
      • brain Q28.2
        ICD-10-CM Diagnosis Code Q28.2

        Arteriovenous malformation of cerebral vessels

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Arteriovenous malformation of brain NOS
        • Congenital arteriovenous cerebral aneurysm (nonruptured)
        • ruptured - see Fistula, arteriovenous, brain, ruptured
      • coronary Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Congenital coronary (artery) aneurysm
      • pulmonary Q25.72
        ICD-10-CM Diagnosis Code Q25.72

        Congenital pulmonary arteriovenous malformation

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Congenital pulmonary arteriovenous aneurysm
    • coronary I25.41
      ICD-10-CM Diagnosis Code I25.41

      Coronary artery aneurysm

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Coronary arteriovenous fistula, acquired

      Type 1 Excludes

      • congenital coronary (artery) aneurysm (Q24.5)
      • congenital Q24.5
        ICD-10-CM Diagnosis Code Q24.5

        Malformation of coronary vessels

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Congenital coronary (artery) aneurysm
    • pulmonary I28.0
      ICD-10-CM Diagnosis Code I28.0

      Arteriovenous fistula of pulmonary vessels

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Type 1 Excludes

      • congenital arteriovenous fistula (Q25.72)
      • congenital Q25.72
        ICD-10-CM Diagnosis Code Q25.72

        Congenital pulmonary arteriovenous malformation

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Congenital pulmonary arteriovenous aneurysm
    • surgically created (for dialysis) Z99.2
      ICD-10-CM Diagnosis Code Z99.2

      Dependence on renal dialysis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Hemodialysis status
      • Peritoneal dialysis status
      • Presence of arteriovenous shunt for dialysis
      • Renal dialysis status NOS

      Type 1 Excludes

      • encounter for fitting and adjustment of dialysis catheter (Z49.0-)

      Type 2 Excludes

      • noncompliance with renal dialysis (Z91.15)
      • complication - see Complication, arteriovenous, fistula, surgically created
    • traumatic - see Injury, blood vessel
  • artery I77.2
    ICD-10-CM Diagnosis Code I77.2

    Rupture of artery

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Erosion of artery
    • Fistula of artery
    • Ulcer of artery

    Type 1 Excludes

    • traumatic rupture of artery - see injury of blood vessel by body region
  • aural (mastoid) - see Mastoiditis, chronic
  • auricle - see also Disorder, pinna, specified type NEC
    • congenital Q18.1
      ICD-10-CM Diagnosis Code Q18.1

      Preauricular sinus and cyst

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Fistula of auricle, congenital
      • Cervicoaural fistula
  • Bartholin's gland N82.8
    ICD-10-CM Diagnosis Code N82.8

    Other female genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • bile duct (common) (hepatic) K83.3
    ICD-10-CM Diagnosis Code K83.3

    Fistula of bile duct

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Choledochoduodenal fistula
    • with calculus, stones K83.3
      - see also Calculus, bile duct
      ICD-10-CM Diagnosis Code K83.3

      Fistula of bile duct

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Choledochoduodenal fistula
  • biliary (tract) - see Fistula, bile duct
  • bladder (sphincter) N32.2
    - see also Fistula, vesico-
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
    • into seminal vesicle N32.2
      ICD-10-CM Diagnosis Code N32.2

      Vesical fistula, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Type 1 Excludes

      • fistula between bladder and female genital tract (N82.0-N82.1)
  • bone - see also Disorder, bone, specified type NEC
    • with osteomyelitis, chronic - see Osteomyelitis, chronic, with draining sinus
  • brain G93.89
    ICD-10-CM Diagnosis Code G93.89

    Other specified disorders of brain

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Postradiation encephalopathy
    • arteriovenous (acquired) I67.1
      - see also Fistula, arteriovenous, brain
      ICD-10-CM Diagnosis Code I67.1

      Cerebral aneurysm, nonruptured

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cerebral aneurysm NOS
      • Cerebral arteriovenous fistula, acquired
      • Internal carotid artery aneurysm, intracranial portion
      • Internal carotid artery aneurysm, NOS

      Type 1 Excludes

      • congenital cerebral aneurysm, nonruptured (Q28.-)
      • ruptured cerebral aneurysm (I60.7)
      • congenital Q28.2
        ICD-10-CM Diagnosis Code Q28.2

        Arteriovenous malformation of cerebral vessels

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Arteriovenous malformation of brain NOS
        • Congenital arteriovenous cerebral aneurysm (nonruptured)
  • branchial Q18.0
    (cleft)
    ICD-10-CM Diagnosis Code Q18.0

    Sinus, fistula and cyst of branchial cleft

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Branchial vestige
  • branchiogenous Q18.0
    ICD-10-CM Diagnosis Code Q18.0

    Sinus, fistula and cyst of branchial cleft

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Branchial vestige
  • breast N61.0
    ICD-10-CM Diagnosis Code N61.0

    Mastitis without abscess

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Infective mastitis (acute) (nonpuerperal) (subacute)
    • Mastitis (acute) (nonpuerperal) (subacute) NOS
    • Cellulitis (acute) (nonpuerperal) (subacute) of breast NOS
    • Cellulitis (acute) (nonpuerperal) (subacute) of nipple NOS
    • puerperal, postpartum or gestational, due to mastitis (purulent) - see Mastitis, obstetric, purulent
  • bronchial J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • bronchocutaneous, bronchomediastinal, bronchopleural, bronchopleuromediastinal (infective) J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • tuberculous NEC A15.5
      ICD-10-CM Diagnosis Code A15.5

      Tuberculosis of larynx, trachea and bronchus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculosis of bronchus
      • Tuberculosis of glottis
      • Tuberculosis of larynx
      • Tuberculosis of trachea
  • bronchoesophageal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • congenital Q39.2
      ICD-10-CM Diagnosis Code Q39.2

      Congenital tracheo-esophageal fistula without atresia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital tracheo-esophageal fistula NOS
      • with atresia of esophagus Q39.1
        ICD-10-CM Diagnosis Code Q39.1

        Atresia of esophagus with tracheo-esophageal fistula

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Atresia of esophagus with broncho-esophageal fistula
  • bronchovisceral J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • buccal cavity K12.2
    (infective)
    ICD-10-CM Diagnosis Code K12.2

    Cellulitis and abscess of mouth

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cellulitis of mouth (floor)
    • Submandibular abscess

    Type 2 Excludes

    • abscess of salivary gland (K11.3)
    • abscess of tongue (K14.0)
    • periapical abscess (K04.6-K04.7)
    • periodontal abscess (K05.21)
    • peritonsillar abscess (J36)
  • cecosigmoidal K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • cecum K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • cerebrospinal G96.08
    (fluid)
    ICD-10-CM Diagnosis Code G96.08

    Other cranial cerebrospinal fluid leak

    2021 - New Code 2022 2023 Billable/Specific Code

    Applicable To

    • Postoperative cranial cerebrospinal fluid leak
    • Traumatic cranial cerebrospinal fluid leak

    Code Also

    • if applicable:
    • head injury (S00.- to S09.-)
  • cervical, lateral Q18.1
    ICD-10-CM Diagnosis Code Q18.1

    Preauricular sinus and cyst

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Fistula of auricle, congenital
    • Cervicoaural fistula
  • cervicoaural Q18.1
    ICD-10-CM Diagnosis Code Q18.1

    Preauricular sinus and cyst

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Fistula of auricle, congenital
    • Cervicoaural fistula
  • cervicosigmoidal N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
  • cervicovesical N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
  • cervix N82.8
    ICD-10-CM Diagnosis Code N82.8

    Other female genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • chest J86.0
    (wall)
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • cholecystenteric - see Fistula, gallbladder
  • cholecystocolic - see Fistula, gallbladder
  • cholecystocolonic - see Fistula, gallbladder
  • cholecystoduodenal - see Fistula, gallbladder
  • cholecystogastric - see Fistula, gallbladder
  • cholecystointestinal - see Fistula, gallbladder
  • choledochoduodenal - see Fistula, bile duct
  • cholocolic K82.3
    ICD-10-CM Diagnosis Code K82.3

    Fistula of gallbladder

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cholecystocolic fistula
    • Cholecystoduodenal fistula
  • coccyx - see Sinus, pilonidal
  • colon K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • colostomy K94.09
    ICD-10-CM Diagnosis Code K94.09

    Other complications of colostomy

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • colovesical N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • common duct - see Fistula, bile duct
  • congenital, site not listed - see Anomaly, by site
  • coronary, arteriovenous I25.41
    ICD-10-CM Diagnosis Code I25.41

    Coronary artery aneurysm

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Coronary arteriovenous fistula, acquired

    Type 1 Excludes

    • congenital coronary (artery) aneurysm (Q24.5)
    • congenital Q24.5
      ICD-10-CM Diagnosis Code Q24.5

      Malformation of coronary vessels

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital coronary (artery) aneurysm
  • costal region J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • cul-de-sac, Douglas' N82.8
    ICD-10-CM Diagnosis Code N82.8

    Other female genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • cystic duct - see also Fistula, gallbladder
    • congenital Q44.5
      ICD-10-CM Diagnosis Code Q44.5

      Other congenital malformations of bile ducts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Accessory hepatic duct
      • Biliary duct duplication
      • Congenital malformation of bile duct NOS
      • Cystic duct duplication
  • dental K04.6
    ICD-10-CM Diagnosis Code K04.6

    Periapical abscess with sinus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Dental abscess with sinus
    • Dentoalveolar abscess with sinus
  • diaphragm J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • duodenum K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
  • ear (external) (canal) - see Disorder, ear, external, specified type NEC
  • enterocolic K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • enterocutaneous K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • enterouterine N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • enterovaginal N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • congenital Q52.2
      ICD-10-CM Diagnosis Code Q52.2

      Congenital rectovaginal fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

      Type 1 Excludes

      • cloaca (Q43.7)
    • large intestine N82.3
      ICD-10-CM Diagnosis Code N82.3

      Fistula of vagina to large intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Rectovaginal fistula
    • small intestine N82.2
      ICD-10-CM Diagnosis Code N82.2

      Fistula of vagina to small intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • enterovesical N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • epididymis N50.89
    ICD-10-CM Diagnosis Code N50.89

    Other specified disorders of the male genital organs

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx

    Applicable To

    • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Chylocele, tunica vaginalis (nonfilarial) NOS
    • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Stricture of spermatic cord, tunica vaginalis, and vas deferens
    • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
    • Urethroscrotal fistula
    • tuberculous A18.15
      ICD-10-CM Diagnosis Code A18.15

      Tuberculosis of other male genital organs

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx
  • esophagobronchial J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • congenital Q39.2
      ICD-10-CM Diagnosis Code Q39.2

      Congenital tracheo-esophageal fistula without atresia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital tracheo-esophageal fistula NOS
      • with atresia of esophagus Q39.1
        ICD-10-CM Diagnosis Code Q39.1

        Atresia of esophagus with tracheo-esophageal fistula

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Atresia of esophagus with broncho-esophageal fistula
  • esophagocutaneous K22.89
    ICD-10-CM Diagnosis Code K22.89

    Other specified disease of esophagus

    2022 - New Code 2023 Billable/Specific Code

    Applicable To

    • Hemorrhage of esophagus NOS
  • esophagopleural-cutaneous J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • esophagotracheal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • congenital Q39.2
      ICD-10-CM Diagnosis Code Q39.2

      Congenital tracheo-esophageal fistula without atresia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital tracheo-esophageal fistula NOS
      • with atresia of esophagus Q39.1
        ICD-10-CM Diagnosis Code Q39.1

        Atresia of esophagus with tracheo-esophageal fistula

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Atresia of esophagus with broncho-esophageal fistula
  • esophagus K22.89
    ICD-10-CM Diagnosis Code K22.89

    Other specified disease of esophagus

    2022 - New Code 2023 Billable/Specific Code

    Applicable To

    • Hemorrhage of esophagus NOS
    • congenital Q39.2
      ICD-10-CM Diagnosis Code Q39.2

      Congenital tracheo-esophageal fistula without atresia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital tracheo-esophageal fistula NOS
      • with atresia of esophagus Q39.1
        ICD-10-CM Diagnosis Code Q39.1

        Atresia of esophagus with tracheo-esophageal fistula

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Atresia of esophagus with broncho-esophageal fistula
  • ethmoid - see Sinusitis, ethmoidal
  • eyeball (cornea) (sclera) - see Disorder, globe, hypotony
  • eyelid H01.8
    ICD-10-CM Diagnosis Code H01.8

    Other specified inflammations of eyelid

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • fallopian tube, external N82.5
    ICD-10-CM Diagnosis Code N82.5

    Female genital tract-skin fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Uterus to abdominal wall fistula
    • Vaginoperineal fistula
  • fecal K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
    • congenital Q43.6
      ICD-10-CM Diagnosis Code Q43.6

      Congenital fistula of rectum and anus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Type 1 Excludes

      • congenital fistula of anus with absence, atresia and stenosis (Q42.2)
      • congenital fistula of rectum with absence, atresia and stenosis (Q42.0)
      • congenital rectovaginal fistula (Q52.2)
      • congenital urethrorectal fistula (Q64.73)
      • pilonidal fistula or sinus (L05.-)
  • from periapical abscess K04.6
    ICD-10-CM Diagnosis Code K04.6

    Periapical abscess with sinus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Dental abscess with sinus
    • Dentoalveolar abscess with sinus
  • frontal sinus - see Sinusitis, frontal
  • gallbladder K82.3
    ICD-10-CM Diagnosis Code K82.3

    Fistula of gallbladder

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cholecystocolic fistula
    • Cholecystoduodenal fistula
    • with calculus, cholelithiasis, stones - see Calculus, gallbladder
  • gastric K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
  • gastrocolic K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
    • congenital Q40.2
      ICD-10-CM Diagnosis Code Q40.2

      Other specified congenital malformations of stomach

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital displacement of stomach
      • Congenital diverticulum of stomach
      • Congenital hourglass stomach
      • Congenital duplication of stomach
      • Megalogastria
      • Microgastria
    • tuberculous A18.32
      ICD-10-CM Diagnosis Code A18.32

      Tuberculous enteritis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculosis of anus and rectum
      • Tuberculosis of intestine (large) (small)
  • gastroenterocolic K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
  • gastroesophageal K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
  • gastrojejunal K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
  • gastrojejunocolic K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
  • genital tract (female) N82.9
    ICD-10-CM Diagnosis Code N82.9

    Female genital tract fistula, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
    • specified NEC N82.8
      ICD-10-CM Diagnosis Code N82.8

      Other female genital tract fistulae

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
    • to intestine NEC N82.4
      ICD-10-CM Diagnosis Code N82.4

      Other female intestinal-genital tract fistulae

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Intestinouterine fistula
    • to skin N82.5
      ICD-10-CM Diagnosis Code N82.5

      Female genital tract-skin fistulae

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Uterus to abdominal wall fistula
      • Vaginoperineal fistula
  • hepatic artery-portal vein, congenital Q26.6
    ICD-10-CM Diagnosis Code Q26.6

    Portal vein-hepatic artery fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • hepatopleural J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • hepatopulmonary J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • ileorectal or ileosigmoidal K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • ileovaginal N82.2
    ICD-10-CM Diagnosis Code N82.2

    Fistula of vagina to small intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • ileovesical N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • ileum K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • in ano K60.3
    ICD-10-CM Diagnosis Code K60.3

    Anal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • tuberculous A18.32
      ICD-10-CM Diagnosis Code A18.32

      Tuberculous enteritis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculosis of anus and rectum
      • Tuberculosis of intestine (large) (small)
  • inner ear H83.1
    (labyrinth)
    ICD-10-CM Diagnosis Code H83.1

    Labyrinthine fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • intestine NEC K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • intestinocolonic K63.2
    (abdominal)
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • intestinoureteral N28.89
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • intestinouterine N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
  • intestinovaginal N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • large intestine N82.3
      ICD-10-CM Diagnosis Code N82.3

      Fistula of vagina to large intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Rectovaginal fistula
    • small intestine N82.2
      ICD-10-CM Diagnosis Code N82.2

      Fistula of vagina to small intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • intestinovesical N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • ischiorectal K61.39
    (fossa)
    ICD-10-CM Diagnosis Code K61.39

    Other ischiorectal abscess

    2019 - New Code 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Abscess of ischiorectal fossa
    • Ischiorectal abscess, NOS
  • jejunum K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • joint M25.10
    ICD-10-CM Diagnosis Code M25.10

    Fistula, unspecified joint

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • ankle M25.17-
      ICD-10-CM Diagnosis Code M25.17-

      Fistula, ankle and foot

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • elbow M25.12-
      ICD-10-CM Diagnosis Code M25.12-

      Fistula, elbow

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • foot joint M25.17-
      ICD-10-CM Diagnosis Code M25.17-

      Fistula, ankle and foot

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • hand joint M25.14-
      ICD-10-CM Diagnosis Code M25.14-

      Fistula, hand

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • hip M25.15-
      ICD-10-CM Diagnosis Code M25.15-

      Fistula, hip

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • knee M25.16-
      ICD-10-CM Diagnosis Code M25.16-

      Fistula, knee

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • shoulder M25.11-
      ICD-10-CM Diagnosis Code M25.11-

      Fistula, shoulder

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • specified joint NEC M25.18
      ICD-10-CM Diagnosis Code M25.18

      Fistula, other specified site

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Fistula, vertebrae
    • tuberculous - see Tuberculosis, joint
    • vertebrae M25.18
      ICD-10-CM Diagnosis Code M25.18

      Fistula, other specified site

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Fistula, vertebrae
    • wrist M25.13-
      ICD-10-CM Diagnosis Code M25.13-

      Fistula, wrist

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • kidney N28.89
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • labium N82.8
    (majus) (minus)
    ICD-10-CM Diagnosis Code N82.8

    Other female genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • labyrinth H83.1
    ICD-10-CM Diagnosis Code H83.1

    Labyrinthine fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • lacrimal H04.61-
    (gland) (sac)
    ICD-10-CM Diagnosis Code H04.61-

    Lacrimal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • lacrimonasal duct - see Fistula, lacrimal
  • laryngotracheal, congenital Q34.8
    ICD-10-CM Diagnosis Code Q34.8

    Other specified congenital malformations of respiratory system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of nasopharynx
  • larynx J38.7
    ICD-10-CM Diagnosis Code J38.7

    Other diseases of larynx

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Abscess of larynx
    • Cellulitis of larynx
    • Disease of larynx NOS
    • Necrosis of larynx
    • Pachyderma of larynx
    • Perichondritis of larynx
    • Ulcer of larynx
  • lip K13.0
    ICD-10-CM Diagnosis Code K13.0

    Diseases of lips

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Abscess of lips
    • Angular cheilitis
    • Cellulitis of lips
    • Cheilitis NOS
    • Cheilodynia
    • Cheilosis
    • Exfoliative cheilitis
    • Fistula of lips
    • Glandular cheilitis
    • Hypertrophy of lips
    • Perlèche NEC

    Type 1 Excludes

    • ariboflavinosis (E53.0)
    • cheilitis due to radiation-related disorders (L55-L59)
    • congenital fistula of lips (Q38.0)
    • congenital hypertrophy of lips (Q18.6)
    • Perlèche due to candidiasis (B37.83)
    • Perlèche due to riboflavin deficiency (E53.0)
    • congenital Q38.0
      ICD-10-CM Diagnosis Code Q38.0

      Congenital malformations of lips, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital fistula of lip
      • Congenital malformation of lip NOS
      • Van der Woude's syndrome

      Type 1 Excludes

      • cleft lip (Q36.-)
      • cleft lip with cleft palate (Q37.-)
      • macrocheilia (Q18.6)
      • microcheilia (Q18.7)
  • lumbar, tuberculous A18.01
    ICD-10-CM Diagnosis Code A18.01

    Tuberculosis of spine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Pott's disease or curvature of spine
    • Tuberculous arthritis
    • Tuberculous osteomyelitis of spine
    • Tuberculous spondylitis
  • lung J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • lymphatic I89.8
    ICD-10-CM Diagnosis Code I89.8

    Other specified noninfective disorders of lymphatic vessels and lymph nodes

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Chylocele (nonfilarial)
    • Chylous ascites
    • Chylous cyst
    • Lipomelanotic reticulosis
    • Lymph node or vessel fistula
    • Lymph node or vessel infarction
    • Lymph node or vessel rupture
  • mammary N61.0
    (gland)
    ICD-10-CM Diagnosis Code N61.0

    Mastitis without abscess

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Infective mastitis (acute) (nonpuerperal) (subacute)
    • Mastitis (acute) (nonpuerperal) (subacute) NOS
    • Cellulitis (acute) (nonpuerperal) (subacute) of breast NOS
    • Cellulitis (acute) (nonpuerperal) (subacute) of nipple NOS
  • mastoid (process) (region) - see Mastoiditis, chronic
  • maxillary J32.0
    ICD-10-CM Diagnosis Code J32.0

    Chronic maxillary sinusitis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Antritis (chronic)
    • Maxillary sinusitis NOS
  • medial, face and neck Q18.8
    ICD-10-CM Diagnosis Code Q18.8

    Other specified congenital malformations of face and neck

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Medial cyst of face and neck
    • Medial fistula of face and neck
    • Medial sinus of face and neck
  • mediastinal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • mediastinobronchial J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • mediastinocutaneous J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • middle ear H74.8
    ICD-10-CM Diagnosis Code H74.8

    Other specified disorders of middle ear and mastoid

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • mouth K12.2
    ICD-10-CM Diagnosis Code K12.2

    Cellulitis and abscess of mouth

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cellulitis of mouth (floor)
    • Submandibular abscess

    Type 2 Excludes

    • abscess of salivary gland (K11.3)
    • abscess of tongue (K14.0)
    • periapical abscess (K04.6-K04.7)
    • periodontal abscess (K05.21)
    • peritonsillar abscess (J36)
  • nasal J34.89
    ICD-10-CM Diagnosis Code J34.89

    Other specified disorders of nose and nasal sinuses

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Perforation of nasal septum NOS
    • Rhinolith
    • sinus - see Sinusitis
  • nasopharynx J39.2
    ICD-10-CM Diagnosis Code J39.2

    Other diseases of pharynx

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cyst of pharynx
    • Edema of pharynx

    Type 2 Excludes

    • chronic pharyngitis (J31.2)
    • ulcerative pharyngitis (J02.9)
  • nipple N64.0
    ICD-10-CM Diagnosis Code N64.0

    Fissure and fistula of nipple

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • nose J34.89
    ICD-10-CM Diagnosis Code J34.89

    Other specified disorders of nose and nasal sinuses

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Perforation of nasal septum NOS
    • Rhinolith
  • oral (cutaneous) K12.2
    ICD-10-CM Diagnosis Code K12.2

    Cellulitis and abscess of mouth

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cellulitis of mouth (floor)
    • Submandibular abscess

    Type 2 Excludes

    • abscess of salivary gland (K11.3)
    • abscess of tongue (K14.0)
    • periapical abscess (K04.6-K04.7)
    • periodontal abscess (K05.21)
    • peritonsillar abscess (J36)
    • maxillary J32.0
      ICD-10-CM Diagnosis Code J32.0

      Chronic maxillary sinusitis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Antritis (chronic)
      • Maxillary sinusitis NOS
    • nasal (with cleft palate) - see Cleft, palate
  • orbit, orbital - see Disorder, orbit, specified type NEC
  • oroantral J32.0
    ICD-10-CM Diagnosis Code J32.0

    Chronic maxillary sinusitis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Antritis (chronic)
    • Maxillary sinusitis NOS
  • oviduct, external N82.5
    ICD-10-CM Diagnosis Code N82.5

    Female genital tract-skin fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Uterus to abdominal wall fistula
    • Vaginoperineal fistula
  • palate M27.8
    (hard)
    ICD-10-CM Diagnosis Code M27.8

    Other specified diseases of jaws

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cherubism
    • Exostosis
    • Fibrous dysplasia
    • Unilateral condylar hyperplasia
    • Unilateral condylar hypoplasia

    Type 1 Excludes

    • jaw pain (R68.84)
  • pancreatic K86.89
    ICD-10-CM Diagnosis Code K86.89

    Other specified diseases of pancreas

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Aseptic pancreatic necrosis, unrelated to acute pancreatitis
    • Atrophy of pancreas
    • Calculus of pancreas
    • Cirrhosis of pancreas
    • Fibrosis of pancreas
    • Pancreatic fat necrosis, unrelated to acute pancreatitis
    • Pancreatic infantilism
    • Pancreatic necrosis NOS, unrelated to acute pancreatitis
  • pancreaticoduodenal K86.89
    ICD-10-CM Diagnosis Code K86.89

    Other specified diseases of pancreas

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Aseptic pancreatic necrosis, unrelated to acute pancreatitis
    • Atrophy of pancreas
    • Calculus of pancreas
    • Cirrhosis of pancreas
    • Fibrosis of pancreas
    • Pancreatic fat necrosis, unrelated to acute pancreatitis
    • Pancreatic infantilism
    • Pancreatic necrosis NOS, unrelated to acute pancreatitis
  • parotid (gland) K11.4
    ICD-10-CM Diagnosis Code K11.4

    Fistula of salivary gland

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • congenital fistula of salivary gland (Q38.4)
    • region K12.2
      ICD-10-CM Diagnosis Code K12.2

      Cellulitis and abscess of mouth

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cellulitis of mouth (floor)
      • Submandibular abscess

      Type 2 Excludes

      • abscess of salivary gland (K11.3)
      • abscess of tongue (K14.0)
      • periapical abscess (K04.6-K04.7)
      • periodontal abscess (K05.21)
      • peritonsillar abscess (J36)
  • penis N48.89
    ICD-10-CM Diagnosis Code N48.89

    Other specified disorders of penis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx
  • perianal K60.3
    ICD-10-CM Diagnosis Code K60.3

    Anal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • pericardium (pleura) (sac) - see Pericarditis
  • pericecal K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • perineorectal K60.4
    ICD-10-CM Diagnosis Code K60.4

    Rectal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Fistula of rectum to skin

    Type 1 Excludes

    • rectovaginal fistula (N82.3)
    • vesicorectal fistual (N32.1)
  • perineosigmoidal K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • perineum, perineal (with urethral involvement) N36.0
    ICD-10-CM Diagnosis Code N36.0

    Urethral fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Urethroperineal fistula
    • Urethrorectal fistula
    • Urinary fistula NOS

    Type 1 Excludes

    • urethroscrotal fistula (N50.89)
    • urethrovaginal fistula (N82.1)
    • urethrovesicovaginal fistula (N82.1)
    • tuberculous A18.13
      ICD-10-CM Diagnosis Code A18.13

      Tuberculosis of other urinary organs

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculous urethritis
    • ureter N28.89
      ICD-10-CM Diagnosis Code N28.89

      Other specified disorders of kidney and ureter

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • perirectal K60.4
    ICD-10-CM Diagnosis Code K60.4

    Rectal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Fistula of rectum to skin

    Type 1 Excludes

    • rectovaginal fistula (N82.3)
    • vesicorectal fistual (N32.1)
    • tuberculous A18.32
      ICD-10-CM Diagnosis Code A18.32

      Tuberculous enteritis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculosis of anus and rectum
      • Tuberculosis of intestine (large) (small)
  • peritoneum K65.9
    ICD-10-CM Diagnosis Code K65.9

    Peritonitis, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bacterial peritonitis NOS
  • pharyngoesophageal J39.2
    ICD-10-CM Diagnosis Code J39.2

    Other diseases of pharynx

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cyst of pharynx
    • Edema of pharynx

    Type 2 Excludes

    • chronic pharyngitis (J31.2)
    • ulcerative pharyngitis (J02.9)
  • pharynx J39.2
    ICD-10-CM Diagnosis Code J39.2

    Other diseases of pharynx

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cyst of pharynx
    • Edema of pharynx

    Type 2 Excludes

    • chronic pharyngitis (J31.2)
    • ulcerative pharyngitis (J02.9)
    • branchial cleft Q18.0
      (congenital)
      ICD-10-CM Diagnosis Code Q18.0

      Sinus, fistula and cyst of branchial cleft

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Branchial vestige
  • pilonidal (infected) (rectum) - see Sinus, pilonidal
  • pleura, pleural, pleurocutaneous, pleuroperitoneal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • tuberculous NEC A15.6
      ICD-10-CM Diagnosis Code A15.6

      Tuberculous pleurisy

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculosis of pleura Tuberculous empyema

      Type 1 Excludes

      • primary respiratory tuberculosis (A15.7)
  • pleuropericardial I31.8
    ICD-10-CM Diagnosis Code I31.8

    Other specified diseases of pericardium

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Epicardial plaques
    • Focal pericardial adhesions
  • portal vein-hepatic artery, congenital Q26.6
    ICD-10-CM Diagnosis Code Q26.6

    Portal vein-hepatic artery fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • postauricular H70.81-
    ICD-10-CM Diagnosis Code H70.81-

    Postauricular fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • postoperative, persistent T81.83
    ICD-10-CM Diagnosis Code T81.83

    Persistent postprocedural fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • specified site - see Fistula, by site
  • preauricular Q18.1
    (congenital)
    ICD-10-CM Diagnosis Code Q18.1

    Preauricular sinus and cyst

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Fistula of auricle, congenital
    • Cervicoaural fistula
  • prostate N42.89
    ICD-10-CM Diagnosis Code N42.89

    Other specified disorders of prostate

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) Male Dx
  • pulmonary J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • arteriovenous I28.0
      ICD-10-CM Diagnosis Code I28.0

      Arteriovenous fistula of pulmonary vessels

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Type 1 Excludes

      • congenital arteriovenous fistula (Q25.72)
      • congenital Q25.72
        ICD-10-CM Diagnosis Code Q25.72

        Congenital pulmonary arteriovenous malformation

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Congenital pulmonary arteriovenous aneurysm
    • tuberculous - see Tuberculosis, pulmonary
  • pulmonoperitoneal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • rectolabial N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
  • rectosigmoid K63.2
    (intercommunicating)
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • rectoureteral N28.89
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • rectourethral N36.0
    ICD-10-CM Diagnosis Code N36.0

    Urethral fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Urethroperineal fistula
    • Urethrorectal fistula
    • Urinary fistula NOS

    Type 1 Excludes

    • urethroscrotal fistula (N50.89)
    • urethrovaginal fistula (N82.1)
    • urethrovesicovaginal fistula (N82.1)
    • congenital Q64.73
      ICD-10-CM Diagnosis Code Q64.73

      Congenital urethrorectal fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • rectouterine N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • rectovaginal N82.3
    ICD-10-CM Diagnosis Code N82.3

    Fistula of vagina to large intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Rectovaginal fistula
    • congenital Q52.2
      ICD-10-CM Diagnosis Code Q52.2

      Congenital rectovaginal fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

      Type 1 Excludes

      • cloaca (Q43.7)
    • tuberculous A18.18
      ICD-10-CM Diagnosis Code A18.18

      Tuberculosis of other female genital organs

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Tuberculous ulceration of vulva
  • rectovesical N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
    • congenital Q64.79
      ICD-10-CM Diagnosis Code Q64.79

      Other congenital malformations of bladder and urethra

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • rectovesicovaginal N82.3
    ICD-10-CM Diagnosis Code N82.3

    Fistula of vagina to large intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Rectovaginal fistula
  • rectovulval N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • congenital Q52.79
      ICD-10-CM Diagnosis Code Q52.79

      Other congenital malformations of vulva

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

      Applicable To

      • Congenital cyst of vulva
  • rectum (to skin) K60.4
    ICD-10-CM Diagnosis Code K60.4

    Rectal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Fistula of rectum to skin

    Type 1 Excludes

    • rectovaginal fistula (N82.3)
    • vesicorectal fistual (N32.1)
    • congenital Q43.6
      ICD-10-CM Diagnosis Code Q43.6

      Congenital fistula of rectum and anus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Type 1 Excludes

      • congenital fistula of anus with absence, atresia and stenosis (Q42.2)
      • congenital fistula of rectum with absence, atresia and stenosis (Q42.0)
      • congenital rectovaginal fistula (Q52.2)
      • congenital urethrorectal fistula (Q64.73)
      • pilonidal fistula or sinus (L05.-)
      • with absence, atresia and stenosis Q42.0
        ICD-10-CM Diagnosis Code Q42.0

        Congenital absence, atresia and stenosis of rectum with fistula

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • tuberculous A18.32
      ICD-10-CM Diagnosis Code A18.32

      Tuberculous enteritis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculosis of anus and rectum
      • Tuberculosis of intestine (large) (small)
  • renal N28.89
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • retroauricular - see Fistula, postauricular
  • salivary duct or gland (any) K11.4
    ICD-10-CM Diagnosis Code K11.4

    Fistula of salivary gland

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • congenital fistula of salivary gland (Q38.4)
    • congenital Q38.4
      ICD-10-CM Diagnosis Code Q38.4

      Congenital malformations of salivary glands and ducts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Atresia of salivary glands and ducts
      • Congenital absence of salivary glands and ducts
      • Congenital accessory salivary glands and ducts
      • Congenital fistula of salivary gland
  • scrotum (urinary) N50.89
    ICD-10-CM Diagnosis Code N50.89

    Other specified disorders of the male genital organs

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx

    Applicable To

    • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Chylocele, tunica vaginalis (nonfilarial) NOS
    • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Stricture of spermatic cord, tunica vaginalis, and vas deferens
    • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
    • Urethroscrotal fistula
    • tuberculous A18.15
      ICD-10-CM Diagnosis Code A18.15

      Tuberculosis of other male genital organs

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx
  • semicircular canals H83.1
    ICD-10-CM Diagnosis Code H83.1

    Labyrinthine fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • sigmoid K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
    • to bladder N32.1
      ICD-10-CM Diagnosis Code N32.1

      Vesicointestinal fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Vesicorectal fistula
  • sinus - see Sinusitis
  • skin L98.8
    ICD-10-CM Diagnosis Code L98.8

    Other specified disorders of the skin and subcutaneous tissue

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • to genital tract N82.5
      (female)
      ICD-10-CM Diagnosis Code N82.5

      Female genital tract-skin fistulae

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Uterus to abdominal wall fistula
      • Vaginoperineal fistula
  • splenocolic D73.89
    ICD-10-CM Diagnosis Code D73.89

    Other diseases of spleen

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Fibrosis of spleen NOS
    • Perisplenitis
    • Splenitis NOS
  • stercoral K63.2
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula of duodenum (K31.6)
    • fistula of intestine with Crohn's disease (K50.013, K50.113, K50.813, K50.913,)
    • fistula of intestine with ulcerative colitis (K51.013, K51.213, K51.313, K51.413, K51.513, K51.813, K51.913)

    Type 2 Excludes

    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
  • stomach K31.6
    ICD-10-CM Diagnosis Code K31.6

    Fistula of stomach and duodenum

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Gastrocolic fistula
    • Gastrojejunocolic fistula
  • sublingual gland K11.4
    ICD-10-CM Diagnosis Code K11.4

    Fistula of salivary gland

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • congenital fistula of salivary gland (Q38.4)
  • submandibular gland K11.4
    ICD-10-CM Diagnosis Code K11.4

    Fistula of salivary gland

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • congenital fistula of salivary gland (Q38.4)
  • submaxillary (gland) K11.4
    ICD-10-CM Diagnosis Code K11.4

    Fistula of salivary gland

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • congenital fistula of salivary gland (Q38.4)
    • region K12.2
      ICD-10-CM Diagnosis Code K12.2

      Cellulitis and abscess of mouth

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cellulitis of mouth (floor)
      • Submandibular abscess

      Type 2 Excludes

      • abscess of salivary gland (K11.3)
      • abscess of tongue (K14.0)
      • periapical abscess (K04.6-K04.7)
      • periodontal abscess (K05.21)
      • peritonsillar abscess (J36)
  • thoracic J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • duct I89.8
      ICD-10-CM Diagnosis Code I89.8

      Other specified noninfective disorders of lymphatic vessels and lymph nodes

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Chylocele (nonfilarial)
      • Chylous ascites
      • Chylous cyst
      • Lipomelanotic reticulosis
      • Lymph node or vessel fistula
      • Lymph node or vessel infarction
      • Lymph node or vessel rupture
  • thoracoabdominal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • thoracogastric J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • thoracointestinal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • thorax J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
  • thyroglossal duct Q89.2
    ICD-10-CM Diagnosis Code Q89.2

    Congenital malformations of other endocrine glands

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital malformation of parathyroid or thyroid gland
    • Persistent thyroglossal duct
    • Thyroglossal cyst

    Type 1 Excludes

    • congenital goiter (E03.0)
    • congenital hypothyroidism (E03.1)
  • thyroid E07.89
    ICD-10-CM Diagnosis Code E07.89

    Other specified disorders of thyroid

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Abnormality of thyroid-binding globulin
    • Hemorrhage of thyroid
    • Infarction of thyroid
  • trachea, congenital Q32.1
    (external) (internal)
    ICD-10-CM Diagnosis Code Q32.1

    Other congenital malformations of trachea

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Atresia of trachea
    • Congenital anomaly of tracheal cartilage
    • Congenital dilatation of trachea
    • Congenital malformation of trachea
    • Congenital stenosis of trachea
    • Congenital tracheocele
  • tracheoesophageal J86.0
    ICD-10-CM Diagnosis Code J86.0

    Pyothorax with fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula
    • congenital Q39.2
      ICD-10-CM Diagnosis Code Q39.2

      Congenital tracheo-esophageal fistula without atresia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital tracheo-esophageal fistula NOS
      • with atresia of esophagus Q39.1
        ICD-10-CM Diagnosis Code Q39.1

        Atresia of esophagus with tracheo-esophageal fistula

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Atresia of esophagus with broncho-esophageal fistula
    • following tracheostomy J95.04
      ICD-10-CM Diagnosis Code J95.04

      Tracheo-esophageal fistula following tracheostomy

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • traumatic arteriovenous - see Injury, blood vessel, by site
  • tuberculous - code by site under Tuberculosis
  • typhoid A01.09
    ICD-10-CM Diagnosis Code A01.09

    Typhoid fever with other complications

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • umbilicourinary Q64.8
    ICD-10-CM Diagnosis Code Q64.8

    Other specified congenital malformations of urinary system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • urachus, congenital Q64.4
    ICD-10-CM Diagnosis Code Q64.4

    Malformation of urachus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

    Applicable To

    • Cyst of urachus
    • Patent urachus
    • Prolapse of urachus
  • ureter N28.89
    (persistent)
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • ureteroabdominal N28.89
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • ureterorectal N28.89
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • ureterosigmoido-abdominal N28.89
    ICD-10-CM Diagnosis Code N28.89

    Other specified disorders of kidney and ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • ureterovaginal N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
  • ureterovesical N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • urethra N36.0
    ICD-10-CM Diagnosis Code N36.0

    Urethral fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Urethroperineal fistula
    • Urethrorectal fistula
    • Urinary fistula NOS

    Type 1 Excludes

    • urethroscrotal fistula (N50.89)
    • urethrovaginal fistula (N82.1)
    • urethrovesicovaginal fistula (N82.1)
    • congenital Q64.79
      ICD-10-CM Diagnosis Code Q64.79

      Other congenital malformations of bladder and urethra

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • tuberculous A18.13
      ICD-10-CM Diagnosis Code A18.13

      Tuberculosis of other urinary organs

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Tuberculous urethritis
  • urethroperineal N36.0
    ICD-10-CM Diagnosis Code N36.0

    Urethral fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Urethroperineal fistula
    • Urethrorectal fistula
    • Urinary fistula NOS

    Type 1 Excludes

    • urethroscrotal fistula (N50.89)
    • urethrovaginal fistula (N82.1)
    • urethrovesicovaginal fistula (N82.1)
  • urethroperineovesical N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • urethrorectal N36.0
    ICD-10-CM Diagnosis Code N36.0

    Urethral fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Urethroperineal fistula
    • Urethrorectal fistula
    • Urinary fistula NOS

    Type 1 Excludes

    • urethroscrotal fistula (N50.89)
    • urethrovaginal fistula (N82.1)
    • urethrovesicovaginal fistula (N82.1)
    • congenital Q64.73
      ICD-10-CM Diagnosis Code Q64.73

      Congenital urethrorectal fistula

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • urethroscrotal N50.89
    ICD-10-CM Diagnosis Code N50.89

    Other specified disorders of the male genital organs

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx

    Applicable To

    • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Chylocele, tunica vaginalis (nonfilarial) NOS
    • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Stricture of spermatic cord, tunica vaginalis, and vas deferens
    • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
    • Urethroscrotal fistula
  • urethrovaginal N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
  • urethrovesical N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • urinary N36.0
    (tract) (persistent) (recurrent)
    ICD-10-CM Diagnosis Code N36.0

    Urethral fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Urethroperineal fistula
    • Urethrorectal fistula
    • Urinary fistula NOS

    Type 1 Excludes

    • urethroscrotal fistula (N50.89)
    • urethrovaginal fistula (N82.1)
    • urethrovesicovaginal fistula (N82.1)
  • uteroabdominal N82.5
    ICD-10-CM Diagnosis Code N82.5

    Female genital tract-skin fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Uterus to abdominal wall fistula
    • Vaginoperineal fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • uteroenteric, uterointestinal N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • uterorectal N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • uteroureteric N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
  • uterourethral Q51.7
    ICD-10-CM Diagnosis Code Q51.7

    Congenital fistulae between uterus and digestive and urinary tracts

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • uterovaginal N82.8
    ICD-10-CM Diagnosis Code N82.8

    Other female genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • uterovesical N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • uterus N82.8
    ICD-10-CM Diagnosis Code N82.8

    Other female genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • vagina N82.8
    (postpartal) (wall)
    ICD-10-CM Diagnosis Code N82.8

    Other female genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • vaginocutaneous N82.5
    (postpartal)
    ICD-10-CM Diagnosis Code N82.5

    Female genital tract-skin fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Uterus to abdominal wall fistula
    • Vaginoperineal fistula
  • vaginointestinal NEC N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • large intestine N82.3
      ICD-10-CM Diagnosis Code N82.3

      Fistula of vagina to large intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Rectovaginal fistula
    • small intestine N82.2
      ICD-10-CM Diagnosis Code N82.2

      Fistula of vagina to small intestine

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • vaginoperineal N82.5
    ICD-10-CM Diagnosis Code N82.5

    Female genital tract-skin fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Uterus to abdominal wall fistula
    • Vaginoperineal fistula
  • vasocutaneous, congenital Q55.7
    ICD-10-CM Diagnosis Code Q55.7

    Congenital vasocutaneous fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx POA Exempt
  • vesical NEC N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • vesicoabdominal N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • vesicocervicovaginal N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
  • vesicocolic N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • vesicocutaneous N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • vesicoenteric N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • vesicointestinal N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • vesicometrorectal N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
  • vesicoperineal N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • vesicorectal N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
    • congenital Q64.79
      ICD-10-CM Diagnosis Code Q64.79

      Other congenital malformations of bladder and urethra

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • vesicosigmoidal N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • vesicosigmoidovaginal N82.3
    ICD-10-CM Diagnosis Code N82.3

    Fistula of vagina to large intestine

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Rectovaginal fistula
  • vesicoureteral N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • vesicoureterovaginal N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
  • vesicourethral N32.2
    ICD-10-CM Diagnosis Code N32.2

    Vesical fistula, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • fistula between bladder and female genital tract (N82.0-N82.1)
  • vesicourethrorectal N32.1
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Vesicorectal fistula
  • vesicouterine N82.1
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
    • congenital Q51.7
      ICD-10-CM Diagnosis Code Q51.7

      Congenital fistulae between uterus and digestive and urinary tracts

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • vesicovaginal N82.0
    ICD-10-CM Diagnosis Code N82.0

    Vesicovaginal fistula

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • vulvorectal N82.4
    ICD-10-CM Diagnosis Code N82.4

    Other female intestinal-genital tract fistulae

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Intestinouterine fistula
    • congenital Q52.79
      ICD-10-CM Diagnosis Code Q52.79

      Other congenital malformations of vulva

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt

      Applicable To

      • Congenital cyst of vulva