Is N81.1 a billable ICD-10-CM code?

No. N81.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does N81.1 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).

What cannot be coded together with N81.1?

N81.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

N81.1

N81.1 — Cystocele

Non-billable headerICD-10-CM

N81.1 is a non-billable header ICD-10-CM code for cystocele. 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.

cystocele with prolapse of uterus (N81.2-N81.4)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Cystocele with urethrocele
Cystourethrocele

Other codes that can never be billed with N81.1

These codes carry an Excludes1 note pointing at N81.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N81.1 alone.

N81.0Urethrocele

Risk adjustment

N81.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead N81.1

3 child codes. Green means billable.

Related codes at this level

Codes that share N81. If N81.1 is not quite right, the correct code is usually one of these.

Questions about N81.1

Is N81.1 a billable ICD-10-CM code?: No. N81.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N81.1 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).
What cannot be coded together with N81.1?: N81.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.