2020 ICD-10-CM Diagnosis Code N81.6

Rectocele

    2016 2017 2018 2019 2020 Billable/Specific Code
  • N81.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM N81.6 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of N81.6 - other international versions of ICD-10 N81.6 may differ.
Applicable To
  • Prolapse of posterior vaginal wall
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for any associated fecal incontinence, if applicable (
    ICD-10-CM Diagnosis Code R15
    • R15 Fecal incontinence
      • R15.0 Incomplete defecation
      • R15.1 Fecal smearing
      • R15.2 Fecal urgency
      • R15.9 Full incontinence of feces
    R15.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (N81.6) and the excluded code together.
  • perineocele (
    ICD-10-CM Diagnosis Code N81.81

    Perineocele

      2016 2017 2018 2019 2020 Billable/Specific Code
    N81.81
    )
  • rectal prolapse (
    ICD-10-CM Diagnosis Code K62.3

    Rectal prolapse

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Prolapse of rectal mucosa
    K62.3
    )
  • rectocele with prolapse of uterus (
    ICD-10-CM Diagnosis Code N81.2

    Incomplete uterovaginal prolapse

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • First degree uterine prolapse
    • Prolapse of cervix NOS
    • Second degree uterine prolapse
    Type 1 Excludes
    • cervical stump prolapse (N81.85)
    N81.2-
    ICD-10-CM Diagnosis Code N81.4

    Uterovaginal prolapse, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Prolapse of uterus NOS
    N81.4
    )
The following code(s) above N81.6 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to N81.6:
  • N00-N99
    2020 ICD-10-CM Range N00-N99

    Diseases of the genitourinary system

    Type 2 Excludes
    • 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)
    Diseases of the genitourinary system
  • N81
    ICD-10-CM Diagnosis Code N81

    Female genital prolapse

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • 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)
    Female genital prolapse
Approximate Synonyms
  • Female proctocele without uterine prolapse
  • Female rectocele
  • Herniation of rectum into vagina
  • Rectocele, female
Clinical Information
  • A hernial protrusion of part of the rectum into the vagina. (Dorland, 28th ed)
ICD-10-CM N81.6 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 742 Uterine and adnexa procedures for non-malignancy with cc/mcc
  • 743 Uterine and adnexa procedures for non-malignancy without cc/mcc
  • 760 Menstrual and other female reproductive system disorders with cc/mcc
  • 761 Menstrual and other female reproductive system disorders without cc/mcc

Convert N81.6 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to N81.6:

ICD-10-CM Codes Adjacent To N81.6
N81 Female genital prolapse
N81.0 Urethrocele
N81.1 Cystocele
N81.10 …… unspecified
N81.11 …… midline
N81.12 …… lateral
N81.2 Incomplete uterovaginal prolapse
N81.3 Complete uterovaginal prolapse
N81.4 Uterovaginal prolapse, unspecified
N81.5 Vaginal enterocele
N81.6 Rectocele
N81.8 Other female genital prolapse
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
N81.9 Female genital prolapse, unspecified
N82 Fistulae involving female genital tract
N82.0 Vesicovaginal fistula

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.