Diagnosis Code N81.9
Information for Medical Professionals
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)
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.
Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.