ICD-10 N81.1
Non-Billable HeaderCystocele
About ICD-10-CM N81.1
ICD-10-CM code N81.1 represents Cystocele. This is a non-billable header code in the Genitourinary System chapter (block N81). The 2026 edition of ICD-10-CM N81.1 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.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N81.1. Per CMS ICD-10-CM Tabular 2026.
- Cystocele with urethrocele
- Cystourethrocele
Type 1 Excludes
Pure excludes, these codes can never be coded together with N81.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- cystocele with prolapse of uterus (N81.2-N81.4)
Medicare LCD Coverage for N81.1
Local Coverage Determinations (LCDs) from CMS MACs that list N81.1 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 N81.1.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but N81.1 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with N81.1
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 N81.1
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N81.1, Billing FAQ
Is ICD-10 code N81.1 billable? +
No, N81.1 is a non-billable header code. Use a more specific child code from block N81 when submitting claims.
What other names or terms map to N81.1? +
ICD-10 N81.1 includes: Cystocele with urethrocele; Cystourethrocele.
What codes are Type 1 Excludes for N81.1? +
Type 1 Excludes (never code together with N81.1): cystocele with prolapse of uterus (N81.2-N81.4)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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