The Kamenitsa takes its source at an altitude of 600 m, on the southwestern foothills of the Lovech Heights of the fore-Balkan, west of the village of Sokolovo.
Downstream of the town of Ugarchin it forms a picturesque gorge and heads north.
Upstream of the village of Bezhanovo the river enters another gorge, takes its largest tributary the Katunetska reka, forms a third gorge and flows into the Vit at an altitude of 136 m some 1.4 km northwest of Bezhanovo.
[1] Its drainage basin covers a territory of 498 km2 or 15.4% of the Vit's total.
[1] An 11.7 km section of the third class III-307 road Lukovit–Ugarchin–Mikre follows the river valley between the latter two settlements.