ICD-10 Coding for Enterovesical Fistula(N32.1)
Complete ICD-10-CM coding and documentation guide for Enterovesical Fistula. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Enterovesical Fistula
N30-N39Primary Range
Other diseases of the urinary system
This range includes codes for conditions affecting the urinary system, including vesicointestinal fistulas.
Noninfective enteritis and colitis
This range includes codes for underlying conditions like Crohn's disease that may cause enterovesical fistulas.
Key Information: ICD-10 code for enterovesical fistula
Essential facts and insights about Enterovesical Fistula
Primary ICD-10-CM Code for enterovesical fistula
Decision Criteria
clinical Criteria
- CT scan shows air in bladder without prior instrumentation.
documentation Criteria
- Explicit mention of enterovesical fistula in medical records.
Applicable To
- Colovesical fistula
- Enterovesical fistula
- Vesicorectal fistula
- Ileovesical fistula
Clinical Validation Requirements
- CT scan showing air in the bladder
- Cystoscopy findings of bullous edema
- Urine culture positive for E. coli or Klebsiella
Code-Specific Risks
- Confusion with rectal fistulas
- Omission of organism code for associated UTI
Coding Notes
- Ensure documentation specifies the type of fistula and confirms with imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Enterovesical Fistula to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N32.1.
Impact
Clinical: Inaccurate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include organism code when UTI is present., Cross-check lab results with documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in compliance issues., Data Quality: Inaccurate data entry affects patient records.
Mitigation Strategy
Ensure the documentation specifies involvement of the bladder.
Impact
Inaccurate or incomplete documentation of fistula type and underlying conditions.
Mitigation Strategy
Implement thorough documentation reviews and training.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Enterovesical Fistula, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Enterovesical Fistula
Use these documentation templates to ensure complete and accurate documentation for Enterovesical Fistula. These templates include all required elements for proper coding and billing.
Surgical Repair of Enterovesical Fistula
Specialty: SurgeryRequired Elements
- History of present illness
- Imaging findings
- Surgical plan
- Postoperative care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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