Is ICD-10-CM code N82 billable?

No, N82 (Fistulae involving female genital tract) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code N82 belong to?

N82 belongs to Chapter 14 of the ICD-10-CM tabular list: N00–N99 (Diseases of the Genitourinary System).

N82Not billable, use a more specific code below

Fistulae involving female genital tract

In Noninflammatory disorders of female genital tract (N80-N98), chapter 14: Diseases of the Genitourinary System

8 billable codes under N82: all are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

vesicointestinal fistulae (N32.1)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers chronic kidney disease staging, CKD in kidney transplant patients, and sequencing CKD with related conditions such as diabetes and hypertension.

Chronic kidney disease (page 62)

Read Section I.C.14 (page 62)

All codes under N82

N82 can't be used on a claim. Pick a billable code below; grey headings group them.

N82 MS-DRGs

As the principal diagnosis, the billable codes under N82 group to these 9 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC (5 of 8 codes)
DRG 743 Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC (5 of 8 codes)
DRG 760 Menstrual and Other Female Reproductive System Disorders with CC/MCC (5 of 8 codes)
DRG 761 Menstrual and Other Female Reproductive System Disorders without CC/MCC (5 of 8 codes)
DRG 791 Prematurity with Major Problems (4 of 8 codes)
DRG 793 Full Term Neonate with Major Problems (4 of 8 codes)
DRG 393 Other Digestive System Diagnoses with MCC (3 of 8 codes)
DRG 394 Other Digestive System Diagnoses with CC (3 of 8 codes)
DRG 395 Other Digestive System Diagnoses without CC/MCC (3 of 8 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Fistulas

A fistula is an abnormal connection between two parts inside of the body. Fistulas may develop between different organs, such as between the esophagus and the windpipe or the bowel and the vagina. They can also develop between two blood vessels, such as between an artery and a vein or between two arteries.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.