ICD-10 N81.6
Billable / SpecificRectocele
About ICD-10-CM N81.6
ICD-10-CM code N81.6 represents Rectocele. This is a billable/specific code in the Genitourinary System chapter (block N81). The 2026 edition of ICD-10-CM N81.6 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N81.6. Per CMS ICD-10-CM Tabular 2026.
- Prolapse of posterior vaginal wall
Type 1 Excludes
Pure excludes, these codes can never be coded together with N81.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- rectocele with prolapse of uterus (N81.2-N81.4)
Type 2 Excludes
Not included here, the excluded code is not part of N81.6, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- perineocele (N81.81)
- rectal prolapse (K62.3)
Use Additional Code
When coding N81.6, also report these additional codes when applicable.
- code for any associated fecal incontinence, if applicable (R15.-)
Medicare LCD Coverage for N81.6
Local Coverage Determinations (LCDs) from CMS MACs that list N81.6 as a covered diagnosis.
Showing top 10 of 28 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N81.6.
3 Medicare
CPT Codes Commonly Billed with N81.6
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.
Convert N81.6 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| N81.6 | 61804 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N81.6
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N81.6, Billing FAQ
Is ICD-10 code N81.6 billable? +
Yes, N81.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to N81.6? +
ICD-10 N81.6 includes: Prolapse of posterior vaginal wall.
What codes are Type 1 Excludes for N81.6? +
Type 1 Excludes (never code together with N81.6): rectocele with prolapse of uterus (N81.2-N81.4)
What codes are Type 2 Excludes for N81.6? +
Type 2 Excludes (may be coded together when both conditions exist): perineocele (N81.81); rectal prolapse (K62.3)
What ICD-9 codes does N81.6 map to? +
Per CMS GEMs, N81.6 maps to ICD-9 codes: 61804. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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