Prolapse, prolapsed

• anus, anal K62.2
  (canal) (sphincter)
  ICD-10-CM Diagnosis Code K62.2

  Anal prolapse

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Prolapse of anal canal
• arm or hand O32.2
  ICD-10-CM Diagnosis Code O32.2

  Maternal care for transverse and oblique lie

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Maternal care for oblique presentation
  • Maternal care for transverse presentation
  • causing obstructed labor O64.4
    ICD-10-CM Diagnosis Code O64.4

    Obstructed labor due to shoulder presentation

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Prolapsed arm

    Type 1 Excludes

    • impacted shoulders (O66.0)
    • shoulder dystocia (O66.0)
• bladder (mucosa) (sphincter) (acquired)
  • congenital Q79.4
    ICD-10-CM Diagnosis Code Q79.4

    Prune belly syndrome

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital prolapse of bladder mucosa
    • Eagle-Barrett syndrome
  • female - see Cystocele
  • male N32.89
    ICD-10-CM Diagnosis Code N32.89

    Other specified disorders of bladder

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Bladder hemorrhage
    • Bladder hypertrophy
    • Calcified bladder
    • Contracted bladder
• breast implant T85.49
  (prosthetic)
  ICD-10-CM Diagnosis Code T85.49

  Other mechanical complication of breast prosthesis and implant

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Obstruction (mechanical) of breast prosthesis and implant
  • Perforation of breast prosthesis and implant
  • Protrusion of breast prosthesis and implant
• cecostomy K94.09
  ICD-10-CM Diagnosis Code K94.09

  Other complications of colostomy

  2016 2017 2018 2019 2020 Billable/Specific Code
• cecum K63.4
  ICD-10-CM Diagnosis Code K63.4

  Enteroptosis

  2016 2017 2018 2019 2020 Billable/Specific Code
• cervix, cervical (hypertrophied) N81.2
  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)
  • anterior lip, obstructing labor O65.5
    ICD-10-CM Diagnosis Code O65.5

    Obstructed labor due to abnormality of maternal pelvic organs

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Obstructed labor due to conditions listed in O34.-

    Use Additional

    • code to identify abnormality of pelvic organs O34.-
  • congenital Q51.828
    ICD-10-CM Diagnosis Code Q51.828

    Other congenital malformations of cervix

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • postpartal, old N81.2
    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)
  • stump N81.85
    ICD-10-CM Diagnosis Code N81.85

    Cervical stump prolapse

    2016 2017 2018 2019 2020 Billable/Specific Code
• ciliary body (traumatic) - see Laceration, eye(ball), with prolapse or loss of interocular tissue
• colon K63.4
  (pedunculated)
  ICD-10-CM Diagnosis Code K63.4

  Enteroptosis

  2016 2017 2018 2019 2020 Billable/Specific Code
• colostomy K94.09
  ICD-10-CM Diagnosis Code K94.09

  Other complications of colostomy

  2016 2017 2018 2019 2020 Billable/Specific Code
• disc (intervertebral) - see Displacement, intervertebral disc
• eye implant (orbital) T85.398
  ICD-10-CM Diagnosis Code T85.398

  Other mechanical complication of other ocular prosthetic devices, implants and grafts

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • lens (ocular) - see Complications, intraocular lens
• fallopian tube N83.4-
  ICD-10-CM Diagnosis Code N83.4-

  Prolapse and hernia of ovary and fallopian tube

  2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
• gastric K31.89
  (mucosa)
  ICD-10-CM Diagnosis Code K31.89

  Other diseases of stomach and duodenum

  2016 2017 2018 2019 2020 Billable/Specific Code
• genital, female N81.9
  ICD-10-CM Diagnosis Code N81.9

  Female genital prolapse, unspecified

  2016 2017 2018 2019 2020 Billable/Specific Code
  • specified NEC N81.89
    ICD-10-CM Diagnosis Code N81.89

    Other female genital prolapse

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Deficient perineum
    • Old laceration of muscles of pelvic floor
• globe, nontraumatic - see Luxation, globe
• ileostomy bud K94.19
  ICD-10-CM Diagnosis Code K94.19

  Other complications of enterostomy

  2016 2017 2018 2019 2020 Billable/Specific Code
• intervertebral disc - see Displacement, intervertebral disc
• intestine K63.4
  (small)
  ICD-10-CM Diagnosis Code K63.4

  Enteroptosis

  2016 2017 2018 2019 2020 Billable/Specific Code
• iris (traumatic) - see Laceration, eye(ball), with prolapse or loss of interocular tissue
  • nontraumatic H21.89
    ICD-10-CM Diagnosis Code H21.89

    Other specified disorders of iris and ciliary body

    2016 2017 2018 2019 2020 Billable/Specific Code
• kidney N28.83
  ICD-10-CM Diagnosis Code N28.83

  Nephroptosis

  2016 2017 2018 2019 2020 Billable/Specific Code
  • congenital Q63.2
    ICD-10-CM Diagnosis Code Q63.2

    Ectopic kidney

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital displaced kidney
    • Malrotation of kidney
• laryngeal muscles or ventricle J38.7
  ICD-10-CM Diagnosis Code J38.7

  Other diseases of larynx

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Abscess of larynx
  • Cellulitis of larynx
  • Disease of larynx NOS
  • Necrosis of larynx
  • Pachyderma of larynx
  • Perichondritis of larynx
  • Ulcer of larynx
• liver K76.89
  ICD-10-CM Diagnosis Code K76.89

  Other specified diseases of liver

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Cyst (simple) of liver
  • Focal nodular hyperplasia of liver
  • Hepatoptosis
• meatus urinarius N36.8
  ICD-10-CM Diagnosis Code N36.8

  Other specified disorders of urethra

  2016 2017 2018 2019 2020 Billable/Specific Code

  Type 1 Excludes

  • congenital urethrocele (Q64.7)
  • female urethrocele (N81.0)
• mitral I34.1
  (valve)
  ICD-10-CM Diagnosis Code I34.1

  Nonrheumatic mitral (valve) prolapse

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Floppy nonrheumatic mitral valve syndrome

  Type 1 Excludes

  • Marfan's syndrome (Q87.4-)
• ocular lens implant - see Complications, intraocular lens
• organ or site, congenital NEC - see Malposition, congenital
• ovary N83.4-
  ICD-10-CM Diagnosis Code N83.4-

  Prolapse and hernia of ovary and fallopian tube

  2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
• pelvic floor, female N81.89
  ICD-10-CM Diagnosis Code N81.89

  Other female genital prolapse

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Deficient perineum
  • Old laceration of muscles of pelvic floor
• perineum, female N81.89
  ICD-10-CM Diagnosis Code N81.89

  Other female genital prolapse

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Deficient perineum
  • Old laceration of muscles of pelvic floor
• rectum (mucosa) (sphincter) K62.3
  ICD-10-CM Diagnosis Code K62.3

  Rectal prolapse

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Prolapse of rectal mucosa
  • due to trichuris trichuria B79
    ICD-10-CM Diagnosis Code B79

    Trichuriasis

    2016 2017 2018 2019 2020 Billable/Specific Code

    Includes

    • trichocephaliasis
    • whipworm (disease)(infection)
• spleen D73.89
  ICD-10-CM Diagnosis Code D73.89

  Other diseases of spleen

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Fibrosis of spleen NOS
  • Perisplenitis
  • Splenitis NOS
• stomach K31.89
  ICD-10-CM Diagnosis Code K31.89

  Other diseases of stomach and duodenum

  2016 2017 2018 2019 2020 Billable/Specific Code
• umbilical cord
  • complicating delivery O69.0
    ICD-10-CM Diagnosis Code O69.0

    Labor and delivery complicated by prolapse of cord

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• urachus, congenital Q64.4
  ICD-10-CM Diagnosis Code Q64.4

  Malformation of urachus

  2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt

  Applicable To

  • Cyst of urachus
  • Patent urachus
  • Prolapse of urachus
• ureter N28.89
  ICD-10-CM Diagnosis Code N28.89

  Other specified disorders of kidney and ureter

  2016 2017 2018 2019 2020 Billable/Specific Code
  • with obstruction N13.5
    ICD-10-CM Diagnosis Code N13.5

    Crossing vessel and stricture of ureter without hydronephrosis

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Kinking and stricture of ureter without hydronephrosis

    Type 1 Excludes

    • Crossing vessel and stricture of ureter without hydronephrosis with infection (N13.6)
    • with infection N13.6
      ICD-10-CM Diagnosis Code N13.6

      Pyonephrosis

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Conditions in N13.0-N13.5 with infection
      • Obstructive uropathy with infection

      Use Additional

      • code (B95-B97), to identify infectious agent.
• ureterovesical orifice N28.89
  ICD-10-CM Diagnosis Code N28.89

  Other specified disorders of kidney and ureter

  2016 2017 2018 2019 2020 Billable/Specific Code
• urethra (acquired) (infected) (mucosa) N36.8
  ICD-10-CM Diagnosis Code N36.8

  Other specified disorders of urethra

  2016 2017 2018 2019 2020 Billable/Specific Code

  Type 1 Excludes

  • congenital urethrocele (Q64.7)
  • female urethrocele (N81.0)
  • congenital Q64.71
    ICD-10-CM Diagnosis Code Q64.71

    Congenital prolapse of urethra

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
• urinary meatus N36.8
  ICD-10-CM Diagnosis Code N36.8

  Other specified disorders of urethra

  2016 2017 2018 2019 2020 Billable/Specific Code

  Type 1 Excludes

  • congenital urethrocele (Q64.7)
  • female urethrocele (N81.0)
  • congenital Q64.72
    ICD-10-CM Diagnosis Code Q64.72

    Congenital prolapse of urinary meatus

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
• uterovaginal N81.4
  ICD-10-CM Diagnosis Code N81.4

  Uterovaginal prolapse, unspecified

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Prolapse of uterus NOS
  • complete N81.3
    ICD-10-CM Diagnosis Code N81.3

    Complete uterovaginal prolapse

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Procidentia (uteri) NOS
    • Third degree uterine prolapse
  • incomplete N81.2
    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)
• uterus (with prolapse of vagina) N81.4
  ICD-10-CM Diagnosis Code N81.4

  Uterovaginal prolapse, unspecified

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Prolapse of uterus NOS
  • complete N81.3
    ICD-10-CM Diagnosis Code N81.3

    Complete uterovaginal prolapse

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Procidentia (uteri) NOS
    • Third degree uterine prolapse
  • congenital Q51.818
    ICD-10-CM Diagnosis Code Q51.818

    Other congenital malformations of uterus

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt

    Applicable To

    • Müllerian anomaly of uterus NEC
  • first degree N81.2
    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)
  • in pregnancy or childbirth - see Pregnancy, complicated by, abnormal, uterus
  • incomplete N81.2
    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)
  • postpartal N81.4
    (old)
    ICD-10-CM Diagnosis Code N81.4

    Uterovaginal prolapse, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Prolapse of uterus NOS
  • second degree N81.2
    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)
  • third degree N81.3
    ICD-10-CM Diagnosis Code N81.3

    Complete uterovaginal prolapse

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Procidentia (uteri) NOS
    • Third degree uterine prolapse
• uveal (traumatic) - see Laceration, eye(ball), with prolapse or loss of interocular tissue
• vagina (anterior) (wall) - see Cystocele
  • posterior wall N81.6
    ICD-10-CM Diagnosis Code N81.6

    Rectocele

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Prolapse of posterior vaginal wall

    Type 2 Excludes

    • perineocele (N81.81)
    • rectal prolapse (K62.3)
    • rectocele with prolapse of uterus (N81.2-N81.4)

    Use Additional

    • code for any associated fecal incontinence, if applicable (R15.-)
  • posthysterectomy N99.3
    ICD-10-CM Diagnosis Code N99.3

    Prolapse of vaginal vault after hysterectomy

    2016 2017 2018 2019 2020 Billable/Specific Code
  • with prolapse of uterus N81.4
    ICD-10-CM Diagnosis Code N81.4

    Uterovaginal prolapse, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Prolapse of uterus NOS
    • complete N81.3
      ICD-10-CM Diagnosis Code N81.3

      Complete uterovaginal prolapse

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Procidentia (uteri) NOS
      • Third degree uterine prolapse
    • incomplete N81.2
      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)
• vitreous (humor) H43.0-
  ICD-10-CM Diagnosis Code H43.0-

  Vitreous prolapse

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • vitreous syndrome following cataract surgery (H59.0-)
  • traumatic vitreous prolapse (S05.2-)
  • in wound - see Laceration, eye(ball), with prolapse or loss of interocular tissue
• womb - see Prolapse, uterus