N36.0 vs N82.1
N36.0 (Urethral fistula) compared with N82.1 (Other female urinary-genital tract fistulae), 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. N36.0 carries an Excludes1 note covering N82.1: “urethrovaginal fistula (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).
No — do not report together. N36.0 carries an Excludes1 note covering N82.1: “urethrovesicovaginal fistula (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
| N36.0Urethral fistula | N82.1Other female urinary-genital tract fistulae | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | N00-N99 — Diseases of the Genitourinary System (N00-N99) |
| Definition | Urethral fistula is a billable ICD-10-CM diagnosis code (N36.0). | Other female urinary-genital tract fistulae is a billable ICD-10-CM diagnosis code (N82.1). |
| Includes | Urethroperineal fistula Urethrorectal fistula Urinary fistula NOS | Cervicovesical fistula Ureterovaginal fistula Urethrovaginal fistula Uteroureteric fistula |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources