Is N81.5 a billable ICD-10-CM code?

Yes. N81.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N81.5 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 N81.5?

N81.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

N81.5

N81.5 — Vaginal enterocele

Billable / specific codeICD-10-CM

N81.5 is a billable, specific ICD-10-CM code for vaginal enterocele. It is valid for submission on a claim.

Excludes1 — never code together

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

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

Other codes that can never be billed with N81.5

These codes carry an Excludes1 note pointing at N81.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N81.5 alone.

K46Unspecified abdominal hernia

Risk adjustment

N81.5 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.

How N81.5 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N81.5.

Colpocele
Enterocele›pelvic, pelvis(acquired) (congenital)
Enterocele›vagina, vaginal NEC(acquired) (congenital)

Related codes at this level

Codes that share N81. If N81.5 is not quite right, the correct code is usually one of these.

Questions about N81.5

Is N81.5 a billable ICD-10-CM code?: Yes. N81.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N81.5 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 N81.5?: N81.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.