N81.3

N81.3: Complete uterovaginal prolapse

Billable / specific codeICD-10-CM

N81.3 is a billable, specific ICD-10-CM code for complete uterovaginal prolapse. It is valid for submission on a claim.

Check N81.3 with the rest of the claim: free scrubber

Inclusion terms

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

Procidentia (uteri) NOS
Third degree uterine prolapse

Excludes1 inherited from the categories above N81.3

A category’s note binds every code beneath it.

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 N81.3

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

N81.3 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57455Billing and Coding: Urodynamics

Alphabetic index entries that lead here

Procidentia(uteri)
Prolapse, prolapsed›uterovaginal›complete
Prolapse, prolapsed›uterus›complete
Prolapse, prolapsed›uterus›third degree
Proctocele›female›with uterine prolapse›complete
Prolapse, prolapsed›vagina›with prolapse of uterus›complete
Rectocele›female›with uterine prolapse›complete

Code history

Unchanged in every release from FY2024 to FY2027.