ICD-10-CM Code N99.3

Prolapse of vaginal vault after hysterectomy

Version 2020 Billable Code Diagnoses For Females Only

Valid for Submission

N99.3 is a billable code used to specify a medical diagnosis of prolapse of vaginal vault after hysterectomy. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N99.3 might also be used to specify conditions or terms like prolapse of vaginal vault after hysterectomy or vaginal vault prolapse.

The code N99.3 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:N99.3
Short Description:Prolapse of vaginal vault after hysterectomy
Long Description:Prolapse of vaginal vault after hysterectomy

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N99.3 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Prolapse of vaginal vault after hysterectomy
  • Vaginal vault prolapse

Diagnostic Related Groups

The ICD-10 code N99.3 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert N99.3 to ICD-9

  • 618.5 - Postop vaginal prolapse

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified (N99)
      • Intraop and postproc comp and disorders of GU sys, NEC (N99)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Hysterectomy

A hysterectomy is surgery to remove a woman's uterus or womb. The uterus is the place where a baby grows when a woman is pregnant. After a hysterectomy, you no longer have menstrual periods and can't become pregnant. Sometimes the surgery also removes the ovaries and fallopian tubes. If you have both ovaries taken out, you will enter menopause.

Your health care provider might recommend a hysterectomy if you have

  • Fibroids
  • Endometriosis that hasn't been cured by medicine or surgery
  • Uterine prolapse - when the uterus drops into the vagina
  • Cancer of the uterine, cervix, or ovaries
  • Vaginal bleeding that persists despite treatment
  • Chronic pelvic pain, as a last resort

Dept. of Health and Human Services Office on Women's Health


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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. 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


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