N81

N81: Female genital prolapse

Non-billable headerICD-10-CM

N81 is a non-billable header ICD-10-CM code for female genital prolapse. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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)

Other codes that can never be billed with N81

Their own Excludes1 notes name this code, so the conflict is not listed above.

K46Unspecified abdominal hernia
N36.8Other specified disorders of urethra
N81.0Urethrocele
N81.1Cystocele
N81.2Incomplete uterovaginal prolapse
N81.5Vaginal enterocele
N81.6Rectocele
N85Other noninflammatory disorders of uterus, except cervix

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead N81

9 child codes. Green means billable.