ICD-10 N81
Non-Billable HeaderFemale genital prolapse
About ICD-10-CM N81
ICD-10-CM code N81 represents Female genital prolapse. This is a non-billable header code in the Genitourinary System chapter (block N81). The 2026 edition of ICD-10-CM N81 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with N81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- 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)
Medicare LCD Coverage for N81
Local Coverage Determinations (LCDs) from CMS MACs that list N81 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N81.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but N81 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with N81
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To N81
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N81, Billing FAQ
Is ICD-10 code N81 billable? +
No, N81 is a non-billable header code. Use a more specific child code from block N81 when submitting claims.
What codes are Type 1 Excludes for N81? +
Type 1 Excludes (never code together with N81): 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)
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team