2027 ICD-10-CM Diagnosis Code N81.89Other female genital prolapse
ICD-10-CM Codes›N00–N99›N80-N98›N81
- Billable — Valid for Submission
- Chronic Condition
N81.89 is a billable ICD-10-CM diagnosis code for other female genital prolapse. 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 N81.89 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.
- Abnormal muscle function
- Decreased anogenital distance
- Descending perineum syndrome
- Finding of tone of vagina
- Inadequate pelvic muscles
- Lax vaginal introitus
- Old laceration of muscles of pelvic floor
- Pelvic floor dysfunction
- Relaxation of pelvic floor
- Vagina lax
- Vaginal vault prolapse
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to N81.89: 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.
- Deficient perineum
- Old laceration of muscles of pelvic floor
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 N81.89, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming N81.89: 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.
floor See Also: Laceration, back, lower;
old (postpartal) N81.89
old (postpartal) N81.89
postpartal N81.89
specified NEC N81.89
pelvic floor, female N81.89
perineum, female N81.89
specified NEC N81.89
pelvic floor N81.89
perineum N81.89
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert N81.89 to ICD-9-CMHistory
Code HistoryHistory
Questions About N81.89Overview
What is the ICD-10 code for other female genital prolapse?
The ICD-10-CM code for other female genital prolapse is N81.89 (sometimes written as N8189). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is N81.89 (Other female genital prolapse) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other female genital prolapse on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does N81.89 group to?
When other female genital prolapse 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 N81.89 be reported with a code from O34.5?
Not as a rule. The Excludes1 note at N81, which applies to N81.89, 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 N81.89?
Under the General Equivalence Mappings, other female genital prolapse converts to ICD-9-CM 618.7 (old lacer pelvic muscle) and 618.89 (genital prolapse NEC). The mapping is approximate, so confirm the match fits the documentation.
