2027 ICD-10-CM Diagnosis Code N81.9Female genital prolapse, unspecified
ICD-10-CM Codes›N00–N99›N80-N98›N81
- Billable — Valid for Submission
- Chronic Condition
N81.9 is a billable ICD-10-CM diagnosis code for female genital 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 N81.9 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 female sexual function
- Abnormal sensation of urinary bladder
- Anorectal dysfunction due to pelvic organ prolapse
- Finding of urinary bladder control
- Functional disorder of urinary bladder due to prolapse of female genital organ
- Genuine stress incontinence
- Hyposensitivity of urinary bladder
- Mixed incontinence due to prolapse of female genital organ
- Mixed urinary incontinence
- Overactive urinary bladder
- Overactive urinary bladder due to prolapse of female genital organ
- Overflow incontinence of urine
- Overflow incontinence of urine due to prolapse of female genital organ
- Prolapse of female genital organs
- Reduced urinary bladder sensation due to prolapse of pelvic organ
- Sexual dysfunction co-occurrent and due to prolapse of female genital organ
- Stress incontinence due to prolapse of pelvic organ
- Urge incontinence due to prolapse of female genital organ
- Urge incontinence of urine
- Urinary incontinence co-occurrent and due to prolapse of female genital organ
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to N81.9: 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.
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 N81.9, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Prolapsus, female N81.9
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 N81.9 to ICD-9-CMHistory
Code HistoryHistory
Questions About N81.9Overview
What is the ICD-10 code for female genital prolapse, unspecified?
The ICD-10-CM code for female genital prolapse, unspecified is N81.9 (sometimes written as N819). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is N81.9 (Female genital prolapse) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report female genital prolapse, unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does N81.9 group to?
When female genital 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 N81.9 be reported with a code from O34.5?
Not as a rule. The Excludes1 note at N81, which applies to N81.9, 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 N81.9?
Under the General Equivalence Mappings, female genital prolapse, unspecified converts to ICD-9-CM 618.00 (vaginal wall prolpse NOS) and 618.9 (genital prolapse NOS). The mapping is approximate, so confirm the match fits the documentation.
