Alphabetic Index FY2027

N32.2

Vesical fistula, not elsewhere classified

FY2027Chapter 14: Diseases of the genitourinary system/N30–N39 Other diseases of the urinary system

BillableComplete code, valid to report
Care settingsHome Health Primary · MMTA - Gastrointestinal tract and Genitourinary systemHospital CC

N32.2 (also written N322) is a billable ICD-10-CM diagnosis code for vesical fistula, not elsewhere classified. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 7 codes in category N32 (Other disorders of bladder). The Alphabetic Index lists it under 13 entries. Its coding notes include 1 Excludes1 entry and 14 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • fistula between bladder and female genital tract (N82.0-N82.1)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from N32 Other disorders of bladder
  • calculus of bladder (N21.0)
  • cystocele (N81.1-)
  • hernia or prolapse of bladder, female (N81.1-)
Also from chapter/block level (11 notes)
Inherited from N30–N39 Other diseases of the urinary system
  • urinary infection (complicating):
    • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
    • pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)
Inherited from Chapter 14 Diseases of the genitourinary system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Gastrointestinal tract and Genitourinary system clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 26 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 13 entries

Show 1 more