Excludes1 pair
N32.2 vs N82.1
N32.2 and N82.1 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on N32.2
fistula between bladder and female genital tract (N82.0-N82.1)
N32.2
Vesical fistula, not elsewhere classified
BillableUnspecified
- Chapter 14
- Diseases of the genitourinary system
- Section
- N30-N39
Indexed under
- Fistula › abdominovesical
- Fistula › bladder NEC (sphincter)
- Fistula › ureterovesical
- Fistula › urethroperineovesical
- Fistula › urethrovesical
N82.1
Other female urinary-genital tract fistulae
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
Use when the record says
- Cervicovesical fistula
- Ureterovaginal fistula
- Urethrovaginal fistula
- Uteroureteric fistula
- Uterovesical fistula
Indexed under
- Fistula › cervicovesical
- Fistula › ureterovaginal
- Fistula › urethrovaginal
- Fistula › uteroureteric
- Fistula › uterovesical
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027