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Compare/N81 vs O34.5

N81 vs O34.5

N81 (Female genital prolapse) compared with O34.5 (Maternal care for other abnormalities of gravid uterus), 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 O34.5: “genital prolapse complicating pregnancy, labor or delivery (O34.5-)”

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 prolapseO34.5Maternal care for other abnormalities of gravid uterus
Billing statusNon-billable header

Report instead: N81.0, N81.10, N81.11, N81.12, N81.2

Non-billable header

Report instead: O34.511, O34.512, O34.513, O34.519, O34.521

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionFemale genital prolapse is a non-billable ICD-10-CM category code (N81).Maternal care for other abnormalities of gravid uterus is a non-billable ICD-10-CM category code (O34.5).
Includes
the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Use additional code
code for specific condition
Code first
any associated obstructed labor (O65.5)

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