• Fistula (cutaneous) L98.8
    ICD-10-CM Diagnosis Code L98.8

    Other specified disorders of the skin and subcutaneous tissue

      2016 2017 2018 2019 Billable/Specific Code

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

      Fistula of intestine

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      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 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 Billable/Specific Code
        Type 1 Excludes
        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 Billable/Specific Code
      • uterus N82.5
        ICD-10-CM Diagnosis Code N82.5

        Female genital tract-skin fistulae

          2016 2017 2018 2019 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 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
      Type 1 Excludes
      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 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 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 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 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 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 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 Billable/Specific Code
      • congenital Q43.6
        ICD-10-CM Diagnosis Code Q43.6

        Congenital fistula of rectum and anus

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

        Tuberculous enteritis

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

      Arteriovenous fistula, acquired

        2016 2017 2018 2019 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
      • brain I67.1
        ICD-10-CM Diagnosis Code I67.1

        Cerebral aneurysm, nonruptured

          2016 2017 2018 2019 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 Billable/Specific Code POA Exempt
          Applicable To
          • Arteriovenous malformation of brain NOS
          • Congenital arteriovenous cerebral aneurysm (nonruptured)
          • ruptured I60.8
            ICD-10-CM Diagnosis Code I60.8

            Other nontraumatic subarachnoid hemorrhage

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Meningeal hemorrhage
            • Rupture of cerebral arteriovenous malformation
        • ruptured I60.8
          ICD-10-CM Diagnosis Code I60.8

          Other nontraumatic subarachnoid hemorrhage

            2016 2017 2018 2019 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 Billable/Specific Code POA Exempt
          Applicable To
          • Arteriovenous malformation of brain NOS
          • Congenital arteriovenous cerebral aneurysm (nonruptured)
          • ruptured I60.8
            ICD-10-CM Diagnosis Code I60.8

            Other nontraumatic subarachnoid hemorrhage

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Meningeal hemorrhage
            • Rupture of cerebral arteriovenous malformation
        • coronary Q24.5
          ICD-10-CM Diagnosis Code Q24.5

          Malformation of coronary vessels

            2016 2017 2018 2019 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 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 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 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 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 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 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)
      • traumatic - see Injury, blood vessel
    • artery I77.2
      ICD-10-CM Diagnosis Code I77.2

      Rupture of artery

        2016 2017 2018 2019 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 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 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 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 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 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
    • brain G93.89
      ICD-10-CM Diagnosis Code G93.89

      Other specified disorders of brain

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Postradiation encephalopathy
      • arteriovenous (acquired) I67.1
        ICD-10-CM Diagnosis Code I67.1

        Cerebral aneurysm, nonruptured

          2016 2017 2018 2019 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 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 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 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 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
    • bronchial J86.0
      ICD-10-CM Diagnosis Code J86.0

      Pyothorax with fistula

        2016 2017 2018 2019 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 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 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 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 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 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 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 Billable/Specific Code
      Applicable To
      • Cellulitis of mouth (floor)
      • Submandibular abscess
      Type 2 Excludes
    • cecosigmoidal K63.2
      ICD-10-CM Diagnosis Code K63.2

      Fistula of intestine

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
      Type 1 Excludes
      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 G96.0
      (fluid)
      ICD-10-CM Diagnosis Code G96.0

      Cerebrospinal fluid leak

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      • cerebrospinal fluid leak from spinal puncture (G97.0)
    • cervical, lateral Q18.1
      ICD-10-CM Diagnosis Code Q18.1

      Preauricular sinus and cyst

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

      Pyothorax with fistula

        2016 2017 2018 2019 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 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 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
    • 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 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 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 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 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 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 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 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 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 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
      Type 1 Excludes
      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 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 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 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 Billable/Specific Code Female Dx POA Exempt
        Type 1 Excludes
      • large intestine N82.3
        ICD-10-CM Diagnosis Code N82.3

        Fistula of vagina to large intestine

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

      Vesicointestinal fistula

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

      Pyothorax with fistula

        2016 2017 2018 2019 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 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 Billable/Specific Code POA Exempt
          Applicable To
          • Atresia of esophagus with broncho-esophageal fistula
    • esophagocutaneous K22.8
      ICD-10-CM Diagnosis Code K22.8

      Other specified diseases of esophagus

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Hemorrhage of esophagus NOS
      Type 2 Excludes
      • esophageal varices (I85.-)
      • Paterson-Kelly syndrome (D50.1)
    • esophagopleural-cutaneous J86.0
      ICD-10-CM Diagnosis Code J86.0

      Pyothorax with fistula

        2016 2017 2018 2019 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 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 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 Billable/Specific Code POA Exempt
          Applicable To
          • Atresia of esophagus with broncho-esophageal fistula
    • esophagus K22.8
      ICD-10-CM Diagnosis Code K22.8

      Other specified diseases of esophagus

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Hemorrhage of esophagus NOS
      Type 2 Excludes
      • esophageal varices (I85.-)
      • Paterson-Kelly syndrome (D50.1)
      • congenital Q39.2
        ICD-10-CM Diagnosis Code Q39.2

        Congenital tracheo-esophageal fistula without atresia

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

      Female genital tract-skin fistulae

        2016 2017 2018 2019 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 Billable/Specific Code
      Type 1 Excludes
      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 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 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 Billable/Specific Code
      Applicable To
      • Cholecystocolic fistula
      • Cholecystoduodenal fistula
    • gastric K31.6
      ICD-10-CM Diagnosis Code K31.6

      Fistula of stomach and duodenum

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

      Pyothorax with fistula

        2016 2017 2018 2019 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 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 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code Female Dx
    • ileovesical N32.1
      ICD-10-CM Diagnosis Code N32.1

      Vesicointestinal fistula

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Vesicorectal fistula
    • ileum K63.2
      ICD-10-CM Diagnosis Code K63.2

      Fistula of intestine

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
      • tuberculous A18.32
        ICD-10-CM Diagnosis Code A18.32

        Tuberculous enteritis

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

      Fistula of intestine

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
    • intestinouterine N82.4
      ICD-10-CM Diagnosis Code N82.4

      Other female intestinal-genital tract fistulae

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

      Vesicointestinal fistula

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Vesicorectal fistula
    • ischiorectal K61.39
      (fossa)
      ICD-10-CM Diagnosis Code K61.39

      Other ischiorectal abscess

        2019 - New Code 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 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
      • ankle M25.17-
        ICD-10-CM Diagnosis Code M25.17-

        Fistula, ankle and foot

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

        Fistula, elbow

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

        Fistula, ankle and foot

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

        Fistula, hand

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

        Fistula, hip

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

        Fistula, knee

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

        Fistula, shoulder

          2016 2017 2018 2019 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 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 Billable/Specific Code
        Applicable To
        • Fistula, vertebrae
      • wrist M25.13-
        ICD-10-CM Diagnosis Code M25.13-

        Fistula, wrist

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

      Other female genital tract fistulae

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

      Labyrinthine fistula

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

      Lacrimal fistula

        2016 2017 2018 2019 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 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 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 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 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital fistula of lip
        • Congenital malformation of lip NOS
        • Van der Woude's syndrome
        Type 1 Excludes
    • lumbar, tuberculous A18.01
      ICD-10-CM Diagnosis Code A18.01

      Tuberculosis of spine

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

      Cellulitis and abscess of mouth

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Cellulitis of mouth (floor)
      • Submandibular abscess
      Type 2 Excludes
    • nasal J34.89
      ICD-10-CM Diagnosis Code J34.89

      Other specified disorders of nose and nasal sinuses

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Perforation of nasal septum NOS
      • Rhinolith
    • nasopharynx J39.2
      ICD-10-CM Diagnosis Code J39.2

      Other diseases of pharynx

        2016 2017 2018 2019 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 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 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 Billable/Specific Code
      Applicable To
      • Cellulitis of mouth (floor)
      • Submandibular abscess
      Type 2 Excludes
      • maxillary J32.0
        ICD-10-CM Diagnosis Code J32.0

        Chronic maxillary sinusitis

          2016 2017 2018 2019 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 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 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 Billable/Specific Code
      Applicable To
      • Cherubism
      • Exostosis
      • Fibrous dysplasia
      • Unilateral condylar hyperplasia
      • Unilateral condylar hypoplasia
      Type 1 Excludes
    • pancreatic K86.89
      ICD-10-CM Diagnosis Code K86.89

      Other specified diseases of pancreas

        2017 - New Code 2018 2019 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 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 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 Billable/Specific Code
        Applicable To
        • Cellulitis of mouth (floor)
        • Submandibular abscess
        Type 2 Excludes
    • penis N48.89
      ICD-10-CM Diagnosis Code N48.89

      Other specified disorders of penis

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

      Anal fistula

        2016 2017 2018 2019 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 Billable/Specific Code
      Type 1 Excludes
      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 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 Billable/Specific Code
      Type 1 Excludes
      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 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 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 Billable/Specific Code
    • perirectal K60.4
      ICD-10-CM Diagnosis Code K60.4

      Rectal fistula

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

      Postauricular fistula

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

      Persistent postprocedural fistula

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
    • preauricular Q18.1
      (congenital)
      ICD-10-CM Diagnosis Code Q18.1

      Preauricular sinus and cyst

        2016 2017 2018 2019 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 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 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 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 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 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 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 Billable/Specific Code
      Type 1 Excludes
      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 Billable/Specific Code
    • rectourethral N36.0
      ICD-10-CM Diagnosis Code N36.0

      Urethral fistula

        2016 2017 2018 2019 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 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 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 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 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 Billable/Specific Code Female Dx POA Exempt
        Type 1 Excludes
      • tuberculous A18.18
        ICD-10-CM Diagnosis Code A18.18

        Tuberculosis of other female genital organs

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

        Tuberculous enteritis

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

      Labyrinthine fistula

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

      Fistula of intestine

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      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 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 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 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 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 Billable/Specific Code
      Type 1 Excludes
      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 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 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 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 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 Billable/Specific Code
        Applicable To
        • Cellulitis of mouth (floor)
        • Submandibular abscess
        Type 2 Excludes
    • thoracic J86.0
      ICD-10-CM Diagnosis Code J86.0

      Pyothorax with fistula

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

      Other specified congenital malformations of urinary system

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

      Malformation of urachus

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

      Other specified disorders of kidney and ureter

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

      Other specified disorders of kidney and ureter

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

      Other female urinary-genital tract fistulae

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

        Tuberculosis of other urinary organs

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Tuberculous urethritis
    • urethroperineal N36.0
      ICD-10-CM Diagnosis Code N36.0

      Urethral fistula

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

      Female genital tract-skin fistulae

        2016 2017 2018 2019 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 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 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 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 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 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 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 Billable/Specific Code
      Applicable To
      • Vesicorectal fistula
    • vesicointestinal N32.1
      ICD-10-CM Diagnosis Code N32.1

      Vesicointestinal fistula

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

      Vesicointestinal fistula

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

      Vesicovaginal fistula

        2016 2017 2018 2019 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 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 Billable/Specific Code Female Dx POA Exempt
        Applicable To
        • Congenital cyst of vulva