icd 10 code for total vault prolapse

by Dr. Stefan Rodriguez DDS 4 min read

Prolapse of vaginal vault after hysterectomy
N99. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N99. 3 became effective on October 1, 2021.

What are the symptoms of vaginal prolapse?

Women who experience signs and symptoms may have: 1

  • A feeling of fullness or bulging (may be more noticeable after coughing, lifting something, or toward the end of the day)
  • Lower back pain
  • Leaking urine
  • Bladder infection
  • Difficult bowel movements
  • Discomfort during sex
  • Difficulties when inserting a tampon

What is a vaginal wall prolapse?

When one of the pelvic organs falls into the vagina, it is known as a vaginal prolapse. This occurs due to an area of vaginal wall becoming weak and no longer being able to support the pelvic organs. Which organ prolapses, or falls into the vagina, depends on what area of the vaginal wall is weak.

What are the medical treatments for pelvic organ prolapse?

  • “Understanding Urinary Incontinence and Pelvic Floor Disorders” with ob-gyn Rebecca Nelken, MD. ...
  • “Ask Gerda: When Do I Need to Start Doing Kegels—and How?”. ...
  • “The Secrets of the Pelvic Floor” with Lauren Roxburgh provides detailed descriptions of exercises to stretch, strengthen, and relax pelvic floor muscles .

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What is the medical condition vaginal prolapse?

There are a few different types of prolapse:

  • Anterior vaginal prolapse (cystocele or urethrocele) happens when the bladder falls down into the vagina.
  • Posterior vaginal prolapse (rectocele) is when the wall separating the rectum from the vagina weakens. ...
  • Uterine prolapse is when the uterus droops down into the vagina.

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What is a vault prolapse?

Vaginal prolapse, also known as vaginal vault prolapse, occurs when the top of the vagina weakens and collapses into the vaginal canal. In more serious cases of vaginal prolapse, the top of the vagina may bulge outside the vaginal opening.

What is the ICD-10 code for post hysterectomy vaginal vault prolapse?

ICD-10 code N99. 3 for Prolapse of vaginal vault after hysterectomy is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

How many degrees of vault prolapse are there?

53.12 demonstrates three degrees of vaginal vault prolapse. The goal of any vault suspension should be to re-create a well-supported, functional vagina of appropriate length. A suspension to the level of the ischial spines usually results in a vagina that is at least 9 cm in length.

How do you code uterine prolapse?

ICD-10 Code for Complete uterovaginal prolapse- N81. 3- Codify by AAPC.

What is the ICD 10 code for history of hysterectomy?

Z90. 710 - Acquired absence of both cervix and uterus | ICD-10-CM.

What is a Cystocele prolapse?

Anterior prolapse (cystocele) A dropped or prolapsed bladder (cystocele) occurs when the bladder bulges into the vaginal space. It results when the muscles and tissues that support the bladder give way.

What are the different types of prolapse?

There are several types of prolapse that have different names depending on the part of the body that has dropped.Cystocele—The bladder drops into the vagina.Enterocele—The small intestine bulges into the vagina.Rectocele—The rectum bulges into the vagina.Uterine Prolapse—The uterus drops into the vagina.More items...

What is the most common cause of vault prolapse following hysterectomy?

Vaginal vault prolapse commonly occurs following a hysterectomy (removal of the uterus (womb)). Because the uterus provides support for the top of the vagina, this condition occurs in up to 40% of women after a hysterectomy. In a vaginal vault prolapse, the top of the vagina gradually falls toward the vaginal opening.

How do you prevent a vault prolapse after a hysterectomy?

Suspension of the vaginal apex to the uterosacral ligaments (McCall culdoplasty) or to the sacrospinous ligaments at the time of vaginal hysterectomy is the mainstay for prevention of post hysterectomy vaginal vault prolapse.

What are the stages of pelvic organ prolapse?

The four categories of uterine prolapse are:Stage I – the uterus is in the upper half of the vagina.Stage II – the uterus has descended nearly to the opening of the vagina.Stage III – the uterus protrudes out of the vagina.Stage IV – the uterus is completely out of the vagina.

What causes a prolapsed uterus?

Uterine prolapse happens when vaginal childbirth or other conditions weaken the muscles and tissues of the pelvic floor so they can no longer support the weight of the uterus. It can happen as a result of: Pregnancy/childbirths with normal or complicated delivery through the vagina.

What is a Grade 4 Cystocele?

Grade 4 cystocele is defined as extrusion of the bladder base beyond the vaginal introitus at rest and represents the extreme of anterior vaginal wall prolapse.

What is considered a severe prolapse?

Signs and symptoms of moderate to severe uterine prolapse include: Sensation of heaviness or pulling in your pelvis. Tissue protruding from your vagina. Urinary problems, such as urine leakage (incontinence) or urine retention.

How do you determine the severity of a prolapse?

Prolapse severity is measured using the hymenal ring as a fixed reference point in POP-Q assessment. The hymenal ring sits approximately 1cm within the external entrance or opening to the vagina.

What are the grades of prolapse?

It consists of four grades: grade 0 – no prolapse, grade 1–halfway to hymen, grade 2 – to hymen, grade 3 – halfway past hymen, grade 4 –maximum descent. In 1996, an article by Bump et al.

What degree is my prolapse?

First-degree prolapse: The organs have only slipped down a little. Second-degree prolapse: The organs have slipped down to the level of the vaginal opening. Third-degree prolapse: The vagina or womb has dropped down so much that up to 1 cm of it is bulging out of the vaginal opening.

What is the ICd 10 code for vaginal vault?

N99.3 is a valid billable ICD-10 diagnosis code for Prolapse of vaginal vault after hysterectomy . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .

What is Category N99?

Category N99: Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified

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