ICD-10 Code N81.11

Cystocele, midline

Version 2019 Billable Code Diagnoses For Females Only

Valid for Submission

N81.11 is a billable code used to specify a medical diagnosis of cystocele, midline. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: N81.11
Short Description:Cystocele, midline
Long Description:Cystocele, midline

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Noninflammatory disorders of female genital tract (N80-N98)
      • Female genital prolapse (N81)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (first year ICD-10-CM implemented into the HIPAA mandated code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019

Information for Medical Professionals

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code N81.11 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert N81.11 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 618.01 - Cystocele, midline (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Cystocele without uterine prolapse
  • Midline cystocele
  • Midline cystocele without uterine prolapse

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N81.11 are found in the index:


Information for Patients


Pelvic Support Problems

Also called: Cystocele, Enterocele, Pelvic prolapse, Rectocele

The pelvic floor is a group of muscles and other tissues that form a sling or hammock across the pelvis. In women, it holds the uterus, bladder, bowel, and other pelvic organs in place so that they can work properly. The pelvic floor can become weak or be injured. The main causes are pregnancy and childbirth. Other causes include being overweight, radiation treatment, surgery, and getting older.

Common symptoms include

  • Feeling heaviness, fullness, pulling, or aching in the vagina. It gets worse by the end of the day or during a bowel movement.
  • Seeing or feeling a "bulge" or "something coming out" of the vagina
  • Having a hard time starting to urinate or emptying the bladder completely
  • Having frequent urinary tract infections
  • Leaking urine when you cough, laugh, or exercise
  • Feeling an urgent or frequent need to urinate
  • Feeling pain while urinating
  • Leaking stool or having a hard time controlling gas
  • Being constipated
  • Having a hard time making it to the bathroom in time

Your health care provider diagnoses the problem with a physical exam, a pelvic exam, or special tests. Treatments include special pelvic muscle exercises called Kegel exercises. A mechanical support device called a pessary helps some women. Surgery and medicines are other treatments.

NIH: National Institute of Child Health and Human Development

  • Anterior vaginal wall repair (Medical Encyclopedia)
  • Pelvic floor muscle training exercises (Medical Encyclopedia)
  • Rectal prolapse (Medical Encyclopedia)
  • Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Uterine prolapse (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.