2026 ICD-10-CM Diagnosis Code N81.89Other female genital prolapse

ICD-10-CM CodesN00–N99N80-N98N81

ICD-10-CM N81.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N81.89 is a billable ICD-10-CM diagnosis code for other female genital prolapse. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) 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

ICD-10-CM Code
N81.89
Billable Status
Yes — Valid for Submission
Code Describes
Other female genital prolapse
Short Description
Other female genital prolapse
Same as the full description in the CMS dataset.
Parent Code
Other female genital prolapse

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN80-N98Noninflammatory disorders of female genital tract
CategoryN81Female genital prolapse
This CodeN81.89Other female genital prolapse

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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Deficient perineum
  • Old laceration of muscles of pelvic floor

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Deficiency, deficient
      • perineum (female)
    • Incompetency, incompetent, incompetence
      • pelvic fundus
    • Laceration
      • pelvic
        • floor
          • old (postpartal)
    • Laceration
      • perineum
        • female
          • old (postpartal)
    • Laceration
      • perineum
        • female
          • postpartal
    • Prolapse, prolapsed
      • genital, female
        • specified NEC
    • Prolapse, prolapsed
      • pelvic floor, female
    • Prolapse, prolapsed
      • perineum, female
    • Prolapsus, female
      • specified NEC
    • Relaxation
      • pelvic floor
    • Relaxation
      • perineum
    • Weak, weakening, weakness(generalized)
      • pelvic fundus

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN020
Prolapse of female genital organs
Default principal diagnosis: inpatient Yes · outpatient Yes

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

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
618.7 Old lacer pelvic muscle
Approximate The match is approximate rather than exact.
ICD-9-CM
618.89 Genital prolapse NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N81.89Overview

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, 2025 through September 30, 2026.

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 0.5696 to 1.8348 depending on complications. Higher weights mean higher Medicare reimbursement.

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.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.