Female genital tract-skin fistulae

This code describes an abnormal communication between any part of the female genital tract (e.g., vagina, uterus, cervix) and the skin. This can manifest as a tract allowing discharge from the genital organs to exit onto the external skin surface.

Use this code when documentation specifies a fistula originating from a female genital organ and terminating on the skin. This includes conditions like a rectovaginal fistula that has eroded through to the perineal skin, or a uterocutaneous fistula. Documentation should clearly identify the genital tract origin and the cutaneous termination.

• Distinguish from internal fistulae (e.g., rectovaginal without skin involvement) which would be coded elsewhere.
• Always look for documentation specifying the origin within the genital tract and the termination on the skin.
• Consider sequencing with codes for underlying conditions or complications, such as infection or specific organ involvement, if documented.