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  5. Female genital prolapse (N81)

Female genital prolapse (N81)

The ICD-10 code N81 covers diagnoses related to female genital prolapse, a condition where pelvic organs such as the urethra, bladder, uterus, or rectum descend into or outside the vaginal canal. These codes are used to classify specific types and severities of prolapse, assisting healthcare providers in accurate documentation and treatment planning.

This section details various forms of female genital prolapse, including urethrocele (N81.0), a prolapse of the urethra often called female urethrocele, and cystocele (N81.1), referring to bladder prolapse, sometimes noted as anterior vaginal wall prolapse or vaginal wall prolapse. Incomplete and complete uterovaginal prolapses (N81.2 and N81.3) describe different degrees of uterine descent, often accompanied by conditions like rectocele or enterocele, terms denoting prolapses involving the rectum or small intestine. Other codes identify prolapse affecting pelvic tissues and muscles, such as pubocervical or rectovaginal tissue weakening (N81.82, N81.83), as well as less specific or combined presentations (N81.4, N81.89, N81.9). Using these ICD-10 codes for female genital prolapse ensures clarity when coding for symptoms like urinary incontinence or pelvic muscle dysfunction related to prolapse.

Instructional Notations

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • genital prolapse complicating pregnancy, labor or delivery O34.5
  • prolapse and hernia of ovary and fallopian tube N83.4
  • prolapse of vaginal vault after hysterectomy N99.3

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Cystocele

A HERNIA-like condition in which the weakened pelvic muscles cause the URINARY BLADDER to drop from its normal position. Fallen urinary bladder is more common in females with the bladder dropping into the VAGINA and less common in males with the bladder dropping into the SCROTUM.

Rectal Prolapse

Protrusion of the rectal mucous membrane through the anus. There are various degrees: incomplete with no displacement of the anal sphincter muscle; complete with displacement of the anal sphincter muscle; complete with no displacement of the anal sphincter muscle but with herniation of the bowel; and internal complete with rectosigmoid or upper rectum intussusception into the lower rectum.

Rectocele

Herniation of the RECTUM into the VAGINA.

Uterine Prolapse

Downward displacement of the UTERUS. It is classified in various degrees: in the first degree the UTERINE CERVIX is within the vaginal orifice; in the second degree the cervix is outside the orifice; in the third degree the entire uterus is outside the orifice.