2027 ICD-10-CM Diagnosis Code N81.4Uterovaginal prolapse, unspecified
ICD-10-CM Codes›N00–N99›N80-N98›N81
- Billable — Valid for Submission
- Chronic Condition
N81.4 is a billable ICD-10-CM diagnosis code for uterovaginal prolapse, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 760 through 761. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Prolapse of female genital organs.
Code Identity
Code Classification
Quality Payment Program MeasuresBilling
Medicare quality measures that can apply when N81.4 is part of the patient record.
Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury
High Priority: YES
Measure Type: Process
Submission Methods: Claims, Registry
Description: Percentage of patients who undergo cystoscopy to evaluate for lower urinary tract injury at the time of hysterectomy for pelvic organ prolapse.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Enterocele
- Female cystocele and uterine prolapse
- Female enterocele
- Herniation of rectum into vagina
- Prolapse of uterus with enterocele
- Prolapse of uterus with rectocele
- Rectocele co-occurrent with complete uterovaginal prolapse
- Third degree uterine prolapse
- Uterine prolapse
- Uterine prolapse in pregnancy
- Uterovaginal prolapse
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to N81.4: its own notes plus those printed at N81 and Chapter 14. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Prolapse of uterus NOS
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name N81.4, its category, or a range that includes it.
Excludes1 5
These codes carry an Excludes1 note naming N81.4: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
uterus N81.4
postpartal (old) N81.4
uterovaginal N81.4
uterus (with prolapse of vagina) N81.4
postpartal (old) N81.4
vagina (anterior) (wall) See: Cystocele;
with prolapse of uterus N81.4
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Cervix Disorders
A cervix disorder is a problem with your cervix. The cervix is part of the female reproductive system. It is the lower, narrow end of the uterus (womb), which opens into the vagina (birth canal). The cervix has a small opening that expands during childbirth. It also allows menstrual blood to leave your body.
The full article covers:
- What is a cervix disorder?
- Who is more likely to develop cervix disorders?
- What are the symptoms of cervix disorders?
- How are cervix disorders diagnosed?
- What are the treatments for cervix disorders?
- Can cervix disorders be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert N81.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About N81.4Overview
What is the ICD-10 code for uterovaginal prolapse, unspecified?
The ICD-10-CM code for uterovaginal prolapse, unspecified is N81.4 (sometimes written as N814). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is N81.4 (Female genital prolapse) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report uterovaginal prolapse, unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does N81.4 group to?
When uterovaginal prolapse, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.
Can N81.4 be reported with a code from O34.5?
Not as a rule. The Excludes1 note at N81, which applies to N81.4, lists "genital prolapse complicating pregnancy, labor or delivery (O34.5-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of N81.4?
Under the General Equivalence Mappings, uterovaginal prolapse, unspecified converts to ICD-9-CM 618.4 (utervaginal prolapse NOS). The mapping is a direct match.
