2025 ICD-10-CM code N81.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Noninflammatory disorders of the female genital tract - Other female genital prolapse Diseases of the genitourinary system (N00-N99) Feed
Other female genital prolapse refers to the displacement of one or more pelvic organs (uterus, bladder, rectum, or vagina) not otherwise specified.
Medical necessity for treatment of N81.8 is established based on the presence of significant symptoms affecting the patient's quality of life (e.g., pelvic pressure, pain, urinary or bowel dysfunction). The severity of symptoms and the impact on daily activities should be documented to justify the choice of treatment.Surgical interventions should be supported by documentation that conservative treatments have failed or are insufficient.
The clinical responsibility for diagnosing and managing N81.8 rests primarily with gynecologists and other healthcare professionals specializing in women's health. This involves conducting a thorough physical examination, often including a pelvic exam, and using imaging techniques such as ultrasound or MRI to evaluate the extent and type of prolapse.Treatment options can range from conservative measures (pelvic floor exercises, pessaries) to surgical interventions, depending on the severity of the prolapse and the patient's overall health.
- Diseases of the genitourinary system (N00-N99)
- N80-N98 (Noninflammatory disorders of female genital tract)
In simple words: This code describes a condition where one or more of the female reproductive organs or nearby organs (like the bladder or rectum) have slipped out of their normal position. This can happen because the muscles and tissues that support these organs weaken.
N81.8, Other female genital prolapse, in the ICD-10-CM classification, encompasses the prolapse of female pelvic organs, such as the uterus, bladder, rectum, or vagina, that do not fit into the more specific categories within the N81 code range.This includes cases where there's a combination of prolapses or a type of prolapse not otherwise specified. The prolapse may be partial or complete, and its severity varies depending on the extent of organ displacement. Accurate diagnosis requires a thorough physical examination, often including a pelvic exam, to assess the degree of prolapse and the organs involved.
Example 1: A 60-year-old woman presents with symptoms of pelvic pressure and a sensation of a bulge in her vagina.Physical examination reveals a cystocele and a rectocele.Because the prolapse does not fit the specific definitions of cystocele or rectocele alone and involves additional pelvic organ displacement, N81.8 is the most appropriate code., A 75-year-old postmenopausal woman reports increased urinary frequency and difficulty with bowel movements.Pelvic examination shows a partial prolapse of the uterus and vagina without clear dominance of one specific type of prolapse. N81.8 accurately reflects the clinical presentation., A 45-year-old woman, three months postpartum, experiences vaginal pressure and pelvic discomfort. A physical exam reveals a vaginal vault prolapse not related to a hysterectomy. While she is postpartum, the condition is not directly a complication of childbirth, thus N81.8 is coded as it is a non-pregnancy-related prolapse.
Detailed documentation should include:* Complete history and physical examination findings.* Pelvic examination notes specifying the organs involved, the degree of prolapse, and the presence of any associated symptoms (urinary or bowel dysfunction, pelvic pain).* Imaging reports (ultrasound, MRI, etc.) if performed.*Treatment plan, including conservative and surgical options considered and chosen.*Post-operative notes, if surgery was performed.
** When coding N81.8, it is crucial to carefully review the other codes within the N81 range to determine if a more specific code is applicable.If the prolapse is a direct complication of pregnancy, childbirth, or hysterectomy, alternative codes should be considered.
- Payment Status: Active
- Specialties:Gynecology, Obstetrics
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center