N81 vs N83.4

N81 (Female genital prolapse) compared with N83.4 (Prolapse and hernia of ovary and fallopian tube), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N81 carries an Excludes1 note covering N83.4: “prolapse and hernia of ovary and fallopian tube (N83.4-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

	N81Female genital prolapse	N83.4Prolapse and hernia of ovary and fallopian tube
Billing status	Non-billable header Report instead: N81.0, N81.10, N81.11, N81.12, N81.2	Non-billable header Report instead: N83.40, N83.41, N83.42
Classification	N00-N99 — Diseases of the Genitourinary System (N00-N99)	N00-N99 — Diseases of the Genitourinary System (N00-N99)
Definition	Female genital prolapse is a non-billable ICD-10-CM category code (N81).	Prolapse and hernia of ovary and fallopian tube is a non-billable ICD-10-CM category code (N83.4).

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources