N81.11

N81.11: Cystocele, midline

Billable / specific codeICD-10-CM

N81.11 is a billable, specific ICD-10-CM code for cystocele, midline. It is valid for submission on a claim.

Check N81.11 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above N81.11

A category’s note binds every code beneath it.

Written on N81.1: Cystocele

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

Written on N81: Female genital prolapse

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 N81.11

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

N85Other noninflammatory disorders of uterus, except cervix

Risk adjustment

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

Medicare coverage

N81.11 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56802Billing and Coding: Urodynamics
A57455Billing and Coding: Urodynamics

Alphabetic index entries that lead here

Cystocele›female›midline
Cystourethrocele›female›midline

Code history

Unchanged in every release from FY2024 to FY2027.