Coding and coverage · ICD-10-CM

N81

N81.8 Other female genital prolapse

Not billable (header)Chapter 14

Report one of the more specific codes below.

Codes under this one

  • N81.81 Perineocele
  • N81.82 Incompetence or weakening of pubocervical tissue
  • N81.83 Incompetence or weakening of rectovaginal tissue
  • N81.84 Pelvic muscle wasting
  • N81.85 Cervical stump prolapse
  • N81.89 Other female genital prolapse

Instructional notes

Chapter 14

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

N81

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • 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)

Chapter 14: Diseases of the genitourinary system · N80-N98 Noninflammatory disorders of female genital tract (N80-N98)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.