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Compare/N81.0 vs N81.1

N81.0 vs N81.1

N81.0 (Urethrocele) compared with N81.1 (Cystocele), 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. N81.0 carries an Excludes1 note covering N81.1: “urethrocele with cystocele (N81.1-)”

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

N81.0UrethroceleN81.1Cystocele
Billing statusBillableNon-billable header

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

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionUrethrocele is a billable ICD-10-CM diagnosis code (N81.0).Cystocele is a non-billable ICD-10-CM category code (N81.1).
Includes
Cystocele with urethrocele
Cystourethrocele

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