N99.3 is a billable diagnosis code used to specify a medical diagnosis of prolapse of vaginal vault after hysterectomy. The code N99.3 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
The pelvic floor is a group of muscles and other tissues that form a sling or hammock across the pelvis. In women, it holds the uterus, bladder, bowel, and other pelvic organs in place so that they can work properly.
Seeing or feeling a "bulge" or "something coming out" of the vagina. Having a hard time starting to urinate or emptying the bladder completely. Having frequent urinary tract infections.
N73.9 is a billable diagnosis code used to specify a medical diagnosis of female pelvic inflammatory disease, unspecified. The code N73.9 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The code N73.9 is applicable to female patients only.
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
Information for Patients. Pelvic inflammatory disease (PID) is an infection and inflammation of the uterus, ovaries, and other female reproductive organs. It causes scarring in these organs. This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems.
When vaginal cuff dehiscence occurs, abdominal or pelvic contents are at risk of evisceration (expulsion) through the vaginal opening. Cuff dehiscence can lead to serious sequelae, including peritonitis, bowel injury, necrosis, and sepsis. Prompt surgical and medical intervention are required. This topic will review the incidence, risk factors, ...
After removal of the uterus, the vaginal incision (vaginal cuff) is typically closed by suturing the anterior and posterior edges together. Vaginal cuff dehiscence refers to separation of the vaginal edges; other terms include "cuff separation" or "cuff rupture." Complete cuff dehiscence involves full-thickness separation of the entire length of the vaginal incision whereas partial cuff dehiscence involves full-thickness separation of only a portion of the vaginal incision. Partial-thickness cuff separation refers to a partial separation of the cuff thickness without a full-thickness separation; thus, the cuff does not have an actual opening on the vaginal incision. Vaginal cuff dehiscence with evisceration indicates expulsion of intraperitoneal contents through the separated vaginal incision.
Overall — Although posthysterectomy cuff dehiscence rates of 0.14 to nearly 5.00 percent have been reported, the three largest studies reveal a comparably low incidence of dehiscence after hysterectomy of 0.19 to 0.31 percent [ 1-10 ]. In a large single-center study in the United States, 28 cases of vaginal cuff dehiscence were reported among 11,606 patients who underwent total hysterectomy between 2000 and 2009 (0.24 percent incidence) [ 2 ]. Another large single-institution study in Finland reported 26 dehiscences among 13,645 hysterectomy patients from 1992 to 2015 (0.19 percent incidence; author performed calculation from study data) [ 7 ]. The largest multi-institution study conducted in Italy that included 12,398 hysterectomy patients from 1994 to 2008 reported 38 cases of dehiscence (0.31 percent incidence) [ 3 ]. The incidence of cuff dehiscence with evisceration is even lower, ranging from 0.03 to 0.40 percent [ 1,3,11,12 ]. All of these calculations included patients undergoing hysterectomy for benign and malignant indications.
Partial-thickness cuff separation refers to a partial separation of the cuff thickness (ie, the vaginal mucosa is disrupted, but the muscularis and peritoneum are intact) without a full-thickness separation; thus, the cuff does not have an actual opening on the vaginal incision.