2025 ICD-10-CM code N81.0
Urethrocele.A urethrocele is a condition in which the urethra bulges into the vagina.
Medical necessity for treatment of a urethrocele is based on the severity of symptoms and their impact on the patient's daily life. Treatment may be necessary to alleviate discomfort, improve bladder function, and prevent complications.
Diagnosis and treatment of urethrocele, which includes a pelvic exam to assess the prolapse, and discussion of treatment options, which may range from conservative measures like Kegel exercises to surgical repair if necessary.
In simple words: A urethrocele is a condition where the urethra, the tube that carries urine from the bladder, pushes into the wall of the vagina, creating a bulge. This can cause discomfort or difficulty urinating.
Urethrocele
Example 1: A 50-year-old female presents with complaints of a bulge in her vagina and occasional stress urinary incontinence. Upon examination, she is diagnosed with a urethrocele., A 65-year-old female with a history of multiple vaginal deliveries presents with pelvic pressure and difficulty emptying her bladder. A pelvic exam reveals a urethrocele., A 40-year-old female, while asymptomatic, is found to have a small urethrocele during a routine gynecological examination.
Documentation should include details of the pelvic exam, including the size and location of the urethrocele, any associated symptoms (e.g., urinary incontinence, pelvic pressure), and impact on the patient's quality of life.
** ICD-9-CM equivalent code: 618.03
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