ICD-10 · PDGM grouping
N81 Female genital prolapse
All 16 codes in the N81 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
16
Can lead a claim
16
Cannot lead a claim
0
What CMS assigns to N81
All 16 codes group to MMTA - Gastrointestinal tract and Genitourinary system (13) and MMTA - Other (3). None of the 16 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in N81
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| N81.0 | Urethrocele | Can lead a claim | J | None |
| N81.1 Cystocele | ||||
| N81.10 | Cystocele, unspecified | Can lead a claim | J | None |
| N81.11 | Cystocele, midline | Can lead a claim | J | None |
| N81.12 | Cystocele, lateral | Can lead a claim | J | None |
| N81.2 | Incomplete uterovaginal prolapse | Can lead a claim | J | None |
| N81.3 | Complete uterovaginal prolapse | Can lead a claim | J | None |
| N81.4 | Uterovaginal prolapse, unspecified | Can lead a claim | J | None |
| N81.5 | Vaginal enterocele | Can lead a claim | J | None |
| N81.6 | Rectocele | Can lead a claim | J | None |
| N81.8 Other female genital prolapse | ||||
| N81.81 | Perineocele | Can lead a claim | A | None |
| N81.82 | Incompetence or weakening of pubocervical tissue | Can lead a claim | A | None |
| N81.83 | Incompetence or weakening of rectovaginal tissue | Can lead a claim | A | None |
| N81.84 | Pelvic muscle wasting | Can lead a claim | J | None |
| N81.85 | Cervical stump prolapse | Can lead a claim | J | None |
| N81.89 | Other female genital prolapse | Can lead a claim | J | None |
| N81.9 | Female genital prolapse, unspecified | Can lead a claim | J | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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