Template:ICD10 Guideline Fistulas: Difference between revisions

Revision as of 10:41, 24 January 2020

A fistula is an abnormal connection between one hollow structure (which may be an organ such as bladder, stomach, or a blood vessel OR a "space" such as the peritoneal space or the thoracic cavity), or the external surface (i.e. skin).
We have specific codes for some, but not all fistulas:
For a fistula involving a hollow structure for which we do not have a specific fistula code, then use the appropriate NOS code -- e.g. for a fistula involving the gallbladder, use Gallbladder or bile duct disorder, NOS
RULE FOR CODING FISTULA:
- In general, combine the codes for both structures involved -- e.g. for a fistula between the bladder and intestine ("enterovesicular fistula"), combine Intestinal fistula and Bladder, fistula, to anywhere
- When the fistula goes from a hollow structure to the skin (external) then only code the hollow structure itself --- e.g. an anal fistula to the skin just code: Anus or rectum, fistula

To use:

	This is a placeholder so Allan can write the instructions that should show up in all fistula pages. I have already placed calls to it to all pages in .

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-This template contains additional coding info for cancers so it can be applied consistently everywhere it is used.
+==Additional Info==
+*A fistula is an abnormal connection between one hollow structure (which may be an organ such as bladder, stomach, or a blood vessel OR a "space" such as the peritoneal space or the thoracic cavity), or the external surface (i.e. skin).
+*We have specific codes for some, but not all fistulas:
+**[[Tracheostomy complication, tracheo-esophageal fistula]]
+**[[Fistula involving stomach or duodenum]]
+**[[Anus or rectum, fistula]]
+**[[Intestinal fistula]]
+**[[Bladder, fistula, to anywhere]]
+**[[Female genital tract, fistula (to anywhere)]]
+*For a fistula involving a hollow structure for which we do not have a specific fistula code, then use the appropriate NOS code -- e.g. for a fistula involving the gallbladder, use [[Gallbladder or bile duct disorder, NOS]]
+*RULE FOR CODING FISTULA:
+**In general, combine the codes for both structures involved -- e.g. for a fistula between the bladder and intestine ("enterovesicular fistula"), combine  [[Intestinal fistula]] and [[Bladder, fistula, to anywhere]]
+**When the fistula goes from a hollow structure to the skin (external) then only code the hollow structure itself --- e.g. an anal fistula to the skin just code: [[Anus or rectum, fistula]]
 To use: