Congen fistulae betw uterus and digestive and urinary tracts

This code represents the presence of abnormal, congenital connections (fistulae) between the uterus and either the digestive tract (e.g., rectouterine fistula) or the urinary tract (e.g., vesicouterine fistula). These are structural anomalies present at birth, distinct from acquired fistulae.

Use this code when documentation clearly indicates a congenital fistula connecting the uterus to the bowel or bladder. This typically applies to infants or young children diagnosed with such a malformation, or adults whose congenital origin is explicitly stated. Documentation should specify the organs involved and confirm the congenital nature of the fistula.

• Differentiate carefully between congenital and acquired fistulae; acquired fistulae have different coding pathways.
• Ensure the documentation specifies the uterus as one of the organs involved in the fistula.
• Consider additional codes for any associated congenital anomalies or complications arising from the fistula.