N81.3 - Complete uterovaginal prolapse
ICD-10: | N81.3 |
Short Description: | Complete uterovaginal prolapse |
Long Description: | Complete uterovaginal prolapse |
Status: | Valid for Submission |
Version: | ICD-10-CM 2023 |
Code Classification: |
Table of Contents
- 1. Approximate Synonyms
- 2. Clinical Information
- 3. Tabular List of Diseases and Injuries
- 4. Index to Diseases and Injuries References
- 5. Code Edits
- 6. Diagnostic Related Groups - MS-DRG Mapping
- 7. Convert to ICD-9 Code
- 8. Quality Payment Program Measures
- 9. Patient Education
- 10. Related Codes Browser
- 11. Code History
N81.3 is a billable ICD-10 code used to specify a medical diagnosis of complete uterovaginal prolapse. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
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:
- Complete prolapse of vaginal vault
- Complete uterine prolapse co-occurrent with anterior vaginal wall prolapse
- Complete uterine prolapse with enterocele
- Cystocele and rectocele co-occurrent with complete uterovaginal prolapse
- Cystocele with third degree uterine prolapse
- Female cystocele and uterine prolapse
- Herniated urinary bladder
- Prolapse of small intestine
- Rectocele co-occurrent with complete uterovaginal prolapse
- Third degree uterine prolapse
- Third degree uterine prolapse
- Vaginal enterocele
- Vaginal vault prolapse
Clinical Information
- Third Degree Uterine Prolapse-. the uterus has descended below the level of the hymen and protrudes through the opening of the vagina.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Procidentia (uteri) NOS
- Third degree uterine prolapse
Index to Diseases and Injuries References
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 this diagnosis code are found in the injuries and diseases index:
- - Procidentia (uteri) - N81.3
- - Proctocele
- - female (without uterine prolapse) - N81.6
- - with uterine prolapse - N81.2
- - complete - N81.3
- - with uterine prolapse - N81.2
- - female (without uterine prolapse) - N81.6
- - Prolapse, prolapsed
- - uterovaginal - N81.4
- - complete - N81.3
- - uterus (with prolapse of vagina) - N81.4
- - complete - N81.3
- - third degree - N81.3
- - vagina (anterior) (wall) - See: Cystocele;
- - with prolapse of uterus - N81.4
- - complete - N81.3
- - with prolapse of uterus - N81.4
- - uterovaginal - N81.4
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 - 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 to ICD-9 Code
Source ICD-10 Code | Target ICD-9 Code | |
---|---|---|
N81.3 | 618.3 - Uterovag prolaps-complet |
Quality Payment Program Measures
When code N81.3 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 Injury | Percentage of patients who undergo cystoscopy to evaluate for lower urinary tract injury at the time of hysterectomy for pelvic organ prolapse. | Patient Safety | Process | YES | Claims, 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 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 (First year ICD-10-CM implemented into the HIPAA code set)