ICD-10-CM Code N81.3

Valid for Submission

N81.3 is a billable code used to specify a medical diagnosis of complete uterovaginal prolapse. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code N81.3 might also be used to specify conditions or terms like complete prolapse of vaginal vault, complete uterine prolapse co-occurrent with anterior vaginal wall prolapse, cystocele and rectocele co-occurrent with complete uterovaginal prolapse, cystocele with third degree uterine prolapse, herniated urinary bladder, herniation of rectum into vagina, etc

The code N81.3 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N81.3:

Inclusion Terms

Inclusion Terms
These 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

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 N81.3 are found in the index:

• - Procidentia (uteri) - N81.3

• - Proctocele
  • - female (without uterine prolapse) - N81.6
    • - with uterine prolapse - N81.2
      • - complete - N81.3

• - 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

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 .

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
• Cystocele and rectocele co-occurrent with complete uterovaginal prolapse
• Cystocele with third degree uterine prolapse
• Herniated urinary bladder
• Herniation of rectum into vagina
• Rectocele co-occurrent with complete uterovaginal prolapse
• Third degree uterine prolapse
• Third degree uterine prolapse
• Vaginal vault prolapse

Diagnostic Related Groups

The ICD-10 code N81.3 is grouped in the following groups for version MS-DRG V38.0 What are 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). applicable from 10/01/2020 through 09/30/2021.

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

Convert N81.3 to ICD-9

• 618.3 - Uterovag prolaps-complet

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 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
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Tools

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• Convert N81.3 to ICD-9