Congenital urethrorectal fistula

This code describes a congenital abnormal connection between the urethra and the rectum. This malformation results in the passage of urine into the rectum or stool into the urethra, often leading to recurrent infections or incontinence. It is a birth defect affecting the genitourinary and gastrointestinal systems.

Use this code for patients diagnosed with a urethrorectal fistula that is present from birth. Documentation should clearly state the congenital nature of the fistula and its anatomical location connecting the urethra and rectum. This code is typically used when planning surgical repair or managing associated complications.

• Ensure documentation explicitly states "congenital" to differentiate from acquired fistulas.
• Code any associated anomalies or complications, such as urinary tract infections or imperforate anus, separately.
• Do not confuse with acquired urethrorectal fistulas (e.g., N32.2 for vesicointestinal fistula, which may include urethrorectal if not specified as congenital).