ICD-10 Code N99.3

Prolapse of vaginal vault after hysterectomy

Version 2019 Billable Code Diagnoses For Females Only
ICD-10:N99.3
Short Description:Prolapse of vaginal vault after hysterectomy
Long Description:Prolapse of vaginal vault after hysterectomy

Valid for Submission

ICD-10 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 2019 for the submission of HIPAA-covered transactions.

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)

Information for Medical Professionals

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 - Diagnoses for females only.

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). The diagnosis code N99.3 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 618.5 - Postop vaginal prolapse

Synonyms

The following clinical terms are approximate synonyms:

  • Prolapse of vaginal vault after hysterectomy
  • Vaginal vault prolapse

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:


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

  • Hysterectomy (Medical Encyclopedia)
  • Hysterectomy - abdominal - discharge (Medical Encyclopedia)
  • Hysterectomy - laparoscopic - discharge (Medical Encyclopedia)
  • Hysterectomy - vaginal - discharge (Medical Encyclopedia)

[Read More]

Pelvic Support Problems

Also called: Cystocele, Enterocele, Pelvic prolapse, Rectocele

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

  • Anterior vaginal wall repair (Medical Encyclopedia)
  • Pelvic floor muscle training exercises (Medical Encyclopedia)
  • Rectal prolapse (Medical Encyclopedia)
  • Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Uterine prolapse (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.