2027 ICD-10-CM Diagnosis Code N32.2Vesical fistula, not elsewhere classified

ICD-10-CM Codes›N00–N99›N30-N39›N32

ICD-10-CM N32.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N32.2 is a billable ICD-10-CM diagnosis code for vesical fistula, not elsewhere classified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 698 through 700, 791, 793. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 26 closely related codes. Coders also document this condition as fistula of urinary bladder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified diseases of bladder and urethra.

Code Identity

ICD-10-CM Code
N32.2
Billable Status
Yes — Valid for Submission
Code Describes
Vesical fistula, not elsewhere classified
Short Description
Vesical fistula, not elsewhere classified
Same as the full description in the CMS dataset.
Parent Code
Other disorders of bladder

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN30-N39Other diseases of the urinary system
CategoryN32Other disorders of bladder
This CodeN32.2Vesical fistula, not elsewhere classified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fistula of urinary bladder
  • Postoperative fistula
  • Postoperative urinary bladder fistula
  • Urethrovesical fistula
  • Vesicocutaneous fistula
  • Vesicoperineal fistula

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N32.2: its own notes plus those printed at N32, block N30-N39, and Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

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

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From N32 Other disorders of bladder applies to 7 codes
  • calculus of bladder (N21.0)
  • cystocele (N81.1-)
  • hernia or prolapse of bladder, female (N81.1-)
From Block N30-N39 Other diseases of the urinary system applies to 85 codes
  • urinary infection (complicating):
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)
From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 codes
  • 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)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N32.2, its category, or a range that includes it.

Use Additional Code 1

These codes say to use an additional code from the note, and N32.2 is one of the codes named.

  • T81.83 Persistent postprocedural fistula
    bladder fistula (N32.2)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN007
Other specified and unspecified diseases of bladder and urethra
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Urinary Bladder Fistula

    an abnormal passage in the urinary bladder or between the bladder and any surrounding organ.

Patient EducationClinical

Bladder Diseases

The bladder is a hollow organ in your lower abdomen that stores urine. Many conditions can affect your bladder. Some common ones are:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N32.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
596.2 Vesical fistula NEC
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N32.2Overview

What is the ICD-10 code for vesical fistula, not elsewhere classified?

The ICD-10-CM code for vesical fistula, not elsewhere classified is N32.2 (sometimes written as N322). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N32.2 (Other disorders of bladder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report vesical fistula, not elsewhere classified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N32.2 group to?

When vesical fistula, not elsewhere classified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 699, 698, 700, with relative weights from 0.6740 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is N32.2 a CC or MCC?

CMS lists N32.2 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 26 closely related codes in its exclusion list.

What is the ICD-9 equivalent of N32.2?

Under the General Equivalence Mappings, vesical fistula, not elsewhere classified converts to ICD-9-CM 596.2 (vesical fistula NEC). The mapping is a direct match.