icd 9 code for colovesical fistula

Medical records for two senior surgeons (D.E.F. and R.E.B.) were obtained for patients with International Classification of Diseases, Ninth Revision (ICD-9) codes supportive of colovaginal fistulas (619.1 and 619.9), along with Current Procedural Terminology (CPT) codes supportive of fistula repairs (46270-46320, 57300, 57305, 57307 and 57308).

Full Answer

Are ICD-9 and CPT codes reliable for the identification of colovaginal fistula?

Use of both ICD-9 and CPT codes ensured reliable identification of patients treated for colovaginal fistula. All retrospective studies are subject to similar limitations, including reliance on possibly incomplete or inaccurate medical records.

How is colovesical fistula diagnosed and treated?

Diagnosis and management may present difficult problems in patients with colovesical fistulas. Symptoms in the urinary tract are most common, and cystoscopy, and cystography are the most valuable diagnostic procedures.

What is a rectovaginal fistula?

It could apply to an enterocolic fistula (fistula between the small and large bowel), an enterocutaneous fistula (fistula between the small bowel and the skin), a rectovaginal fistula (fistula between the rectum and vagina), or any other abnormal fistulous connection that may be present in the body.

When is excision of a fistula not reported in the report?

If closure of a fistula requires excision of a portion of an organ into which the fistula passes, excision of that tissue shall not be reported separately.

What is a Colovesical fistula definition?

A colovesical fistula (CVF) is an abnormal connection between the colon and urinary bladder. Although they are uncommon, CVFs can cause significant morbidity, affect quality of life, and may lead to death, usually secondary to urosepsis [1,2].

What is the ICD-10 code for rectovaginal fistula?

Q52. 2 - Congenital rectovaginal fistula | ICD-10-CM.

What is the ICD-10 code for colonic fistula?

ICD-10 code K63. 2 for Fistula of intestine is a medical classification as listed by WHO under the range - Diseases of the digestive system .

What is the ICD-10 code for perianal fistula?

Fissure and fistula of anal and rectal regions ICD-10-CM K60. 3 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 393 Other digestive system diagnoses with mcc.

What is the CPT code for rectovaginal fistula repair?

57305CPT® 57305 in section: Closure of rectovaginal fistula.

What K57 92?

ICD-10 code: K57. 92 Diverticulitis of intestine, part unspecified, without perforation, abscess or bleeding.

What is a intestinal fistula?

A gastrointestinal fistula is an abnormal opening in the stomach or intestines that allows the contents to leak. Leaks that go through to a part of the intestines are called entero-enteral fistulas. Leaks that go through to the skin are called enterocutaneous fistulas.

What is an aortic fistula?

A fistula is an abnormal, tubelike connection between two structures inside the body. When the connection is between the aorta and a loop of bowel that is near the aorta it is known as an aortoenteric fistula (AEF).

What is enterocutaneous fistula?

An enterocutaneous fistula (ECF) is an abnormal connection that develops between the intestinal tract or stomach and the skin. As a result, contents of the stomach or intestines leak through to the skin.

What is the ICD-10 code for diverticulosis of colon?

Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding. K57. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K57.

What does ICD 9 stand for?

The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) is based on the World Health Organization's Ninth Revision, International Classification of Diseases (ICD-9).

What is the perianal area?

The perianal is located between the buttocks and around the rectum on men and women. The area can be separately lasered covering the rectum and perineum. You can combine the perianal and buttocks for one treatment.

What is a fistula?

A fistula is an abnormal connection between two organs/structures. Sometimes closing that abnormal connection requires removal of part of the organ (s) on either end of that abnormal connection. When this excision and repair of organs is needed to close the fistula, this work is included in the fistula repair code.

What is the fistula between the small and large bowel?

It could apply to an enterocolic fi stula (fistula between the small and large bowel), an enterocutaneous fistula (fistula between the small bowel and the skin), a rectovaginal fistula (fistula between the rectum and vagina), or any other abnormal fistulous connection that may be present in the body. It would only be appropriate to report ...

What is the fistulous tract?

The fistulous tract between the bowel and bladder is severed . The bowel is clamped above and below the fistulous tract, transected, and the portion containing the fistulous tract removed. An end-to-end anastomosis is then used to reapproximate the bowel.

Where is the sigmoid colon located?

The sigmoid colon is located on the left side of the colon while the ascending colon is on the right so these are two separate anatomic locations in the colon. If you are a visual learner, check out this link with a picture of the anatomy of the colon to visualize where the surgeon is working: ...

Is the excision of the small intestinal or colonic tissue reported separately?

The excision of the small intestinal or colonic tissue shall not be reported separately . The lay description of CPT 44661 also includes the work of removing part of the organs into which the fistula passes and reconstructing those organs (which would include an anastomosis of the colon/rectum).

Is the sigmoid colon removed from the fistula?

This additional work on the left side in the sigmoid colon is not part of the fistula repair – the sigmoid colon is not removed to facilitate repair of the fistula. So we get to report this work separately.