ICD-10 code for Prolapsus

The ICD-10-CM code for Prolapsus is N81.9 (Female genital prolapse, unspecified). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on N81.9.

Within N81, choose N81.9 (unspecified) only when documentation doesn't support a more specific option: Urethrocele (N81.0), cystocele (N81.1), incomplete uterovaginal prolapse (N81.2), complete uterovaginal prolapse (N81.3), uterovaginal prolapse, unspecified (N81.4), vaginal enterocele (N81.5), rectocele (N81.6) and other female genital prolapse (N81.8).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 742 (Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC, relative weight 1.8456), DRG 743 (Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC, relative weight 1.2974), DRG 760 (Menstrual and Other Female Reproductive System Disorders with CC/MCC, relative weight 1.0129) and DRG 761 (Menstrual and Other Female Reproductive System Disorders without CC/MCC, relative weight 0.7041), in MDC 13 (Diseases and Disorders of the Female Reproductive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.