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Home/Diagnosis/ICD-10 Coding for Prolapsed Uterus

ICD-10 Coding for Prolapsed Uterus

N81.3
N81.2
N81.4

Complete ICD-10-CM coding and documentation guide for icd-10 coding for prolapsed uterus includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Uterine Prolapse
Uterovaginal Prolapse
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Key Information: ICD-10 Coding for Prolapsed Uterus

Essential facts and insights about ICD-10 Coding for Prolapsed Uterus

Use ICD-10 code N81.3 for complete uterovaginal prolapse, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Complete uterovaginal prolapse

Billable Code
N81.3
Billable

Diagnostic Criteria

clinical:
  • • Cervix or vaginal wall extends beyond hymen
documentation:
  • • POP-Q Stage III/IV measurements documented

Applicable To

  • • Third-degree prolapse
  • • Procidentia

Important Notes

  • • Ensure documentation specifies complete prolapse with anatomical landmarks.

Incomplete uterovaginal prolapse

Billable Code
N81.2
Billable

Diagnostic Criteria

clinical:
  • • Midvaginal descent
documentation:
  • • POP-Q Stage II measurements

Applicable To

  • • Second-degree prolapse

Important Notes

  • • Ensure documentation specifies incomplete prolapse with anatomical landmarks.

Unspecified uterovaginal prolapse

Billable Code
N81.4
Billable

Diagnostic Criteria

clinical:
  • • Generic uterine prolapse without specific anatomical details

Important Notes

  • • Encourage detailed documentation to avoid using unspecified codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

N39.3

Stress incontinence

Use if stress incontinence is documented alongside prolapse.

Frequently Asked Questions

What is the ICD-10 code for a prolapsed uterus?

The ICD-10 code for a complete uterovaginal prolapse is N81.3, while N81.2 is used for incomplete prolapse.

How do you document a prolapsed uterus?

Document using POP-Q measurements and specify if the prolapse is complete or incomplete, noting anatomical landmarks.

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