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N32.2 vs N82.0

N32.2 (Vesical fistula, not elsewhere classified) compared with N82.0 (Vesicovaginal fistula), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N32.2 carries an Excludes1 note covering N82.0: “fistula between bladder and female genital tract (N82.0-N82.1)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

N32.2Vesical fistula, not elsewhere classifiedN82.0Vesicovaginal fistula
Billing statusBillableBillable
ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionVesical fistula, not elsewhere classified is a billable ICD-10-CM diagnosis code (N32.2).Vesicovaginal fistula is a billable ICD-10-CM diagnosis code (N82.0).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources