2024 ICD-10-CM Diagnosis Code N81.2

Incomplete uterovaginal prolapse

ICD-10-CM Code:
N81.2
ICD-10 Code for:
Incomplete uterovaginal prolapse
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

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

N81.2 is a billable diagnosis code used to specify a medical diagnosis of incomplete uterovaginal prolapse. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

The code is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Performing Cystoscopy At The Time Of Hysterectomy For Pelvic Organ Prolapse To Detect Lower Urinary Tract Injury.

Approximate Synonyms

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

  • Cervix prolapsed into vagina
  • Cervix prolapsed into vagina with straining
  • Cervix prolapsed into vagina with traction
  • Cervix visible at vaginal introitus
  • Cervix visible at vaginal introitus straining
  • Cervix visible at vaginal introitus with traction
  • Cystocele and rectocele co-occurrent with incomplete uterovaginal prolapse
  • Cystocele co-occurrent with incomplete uterovaginal prolapse
  • Cystocele with first degree uterine prolapse
  • Cystocele with second degree uterine prolapse
  • Female cystocele and uterine prolapse
  • Female cystocele and uterine prolapse
  • Female cystocele and uterine prolapse
  • Female cystocele and uterine prolapse
  • First degree uterine prolapse
  • Herniated urinary bladder
  • Herniated urinary bladder
  • Herniation of rectum into vagina
  • Herniation of rectum into vagina
  • Incomplete prolapse of vault of vagina
  • Incomplete uterine prolapse
  • Incomplete uterovaginal prolapse
  • Prolapse of anterior lip of cervix obstructing labor
  • Prolapse of small intestine
  • Prolapse of uterus with rectocele
  • Prolapse of uterus with rectocele
  • Rectocele co-occurrent with incomplete uterovaginal prolapse
  • Second degree uterine prolapse
  • Uterine prolapse in pregnancy
  • Uterine prolapse without vaginal wall prolapse
  • Uterocervical descent
  • Uterocervical descent
  • Uterocervical descent
  • Uterocervical descent
  • Uterocervical descent
  • Uterocervical descent
  • Uterovaginal prolapse
  • Uterovaginal prolapse
  • Uterovaginal prolapse
  • Uterovaginal prolapse
  • Vaginal enterocele
  • Vaginal enterocele due to incomplete uterovaginal prolapse
  • Vaginal vault prolapse

Clinical Classification

Clinical Information

  • First Degree Uterine Prolapse

    the uterus has descended above the hymen.
  • Second Degree Uterine Prolapse

    the uterus has descended to the level of the hymen.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

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

  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Convert N81.2 to ICD-9-CM

  • ICD-9-CM Code: 618.2 - Uterovag prolaps-incompl
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: 618.84 - Cervical stump prolapse
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Quality Payment Program Measures

When code N81.2 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.

Quality Measure Description Quality Domain Measure Type High Priority Submission Methods
Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract InjuryPercentage of patients who undergo cystoscopy to evaluate for lower urinary tract injury at the time of hysterectomy for pelvic organ prolapse.Patient SafetyProcessYESClaims, Registry

Patient Education


Cervix Disorders

The cervix is the lower part of the uterus, the place where a baby grows during pregnancy. The cervix has a small opening that expands during childbirth. It also allows menstrual blood to leave a woman's body.

Your health care provider may perform a Pap test during your health checkup to look for changes to the cells of the cervix, including cervical cancer. Other problems with the cervix include:

  • Cervicitis - inflammation of the cervix. This is usually from an infection.
  • Cervical incompetence - This can happen during pregnancy. The opening of the cervix widens long before the baby is due.
  • Cervical polyps and cysts - abnormal growths on the cervix

[Learn More in MedlinePlus]

Pelvic Floor Disorders

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


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.