Uterovaginal prolapse, unspecified

This code represents a general diagnosis of uterine and vaginal prolapse where the specific degree or type of prolapse is not documented. It indicates a descent of the uterus and/or vaginal walls from their normal anatomical position within the pelvis.

Use this code when the medical record clearly states "uterovaginal prolapse" but lacks further specificity regarding the extent (e.g., first, second, third degree) or the specific compartment involved (e.g., cystocele, rectocele, enterocele). This code is appropriate when the provider's documentation is limited to the general term.

• Avoid using this code if more specific documentation of the prolapse type and degree (e.g., N81.2, N81.6) is available.
• Query the provider for greater specificity if possible, as more detailed codes often better reflect the patient's condition and treatment.
• This code is typically a primary diagnosis when the prolapse is the reason for the encounter, or a secondary diagnosis if it's a co-morbidity.