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N83.42 ICD-10-CM Code: Prolapse and hernia of left ovary and fallopian tube

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)
  • MS-DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)
  • MS-DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)
  • MS-DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Prolapse and hernia of left ovary and fallopian tube is a billable ICD-10-CM diagnosis code (N83.42).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for N83.42 in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Frequently Compared Codes

The official Excludes notes on N83.42 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Prolapse and hernia of left ovary and fallopian tube
    FY2017 changes

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name N83.42 or its code family.

1 Excludes1 notes: N81 (via N83.4.-).

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 4 MS-DRGs: DRG 742 (MDC 13), DRG 743 (MDC 13), DRG 760 (MDC 13), DRG 761 (MDC 13).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):GEN025 — Other specified female genital disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Contextual Map

Every relationship of N83.42 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • N00-N99 — Chapter 14: Diseases of the Genitourinary System (N00-N99) (N00-N99) [Hierarchy]
  • N80-N98 — Noninflammatory disorders of female genital tract [Hierarchy]

Referenced by Excludes1 notes

  • N81 — Female genital prolapse [Excludes1](via N83.4.-): “prolapse and hernia of ovary and fallopian tube (N83.4-)” · check together

Clinical classification (CCSR)

  • GEN025 — Other specified female genital disorders [CCSR]

Potential MS-DRG

  • DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC [MS-DRG]: “UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)”
  • DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC [MS-DRG]: “UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)”
  • DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC [MS-DRG]: “MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)”
  • DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC [MS-DRG]: “MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)”

MDC crossing · procedures (2232)

  • MDC 13 — Diseases and Disorders of the Female Reproductive System [MDC crossing]: “Diseases and Disorders of the Female Reproductive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Open Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
  • and 2227 more

Nearest codes (40)

  • N83 — Noninflammatory disorders of ovary, fallopian tube and broad ligament [Sibling]
  • N83.12 — Corpus luteum cyst of left ovary [Sibling]
  • N83.2 — Other and unspecified ovarian cysts [Sibling]
  • N83.20 — Unspecified ovarian cysts [Sibling]
  • N83.201 — Unspecified ovarian cyst, right side [Sibling]
  • N83.202 — Unspecified ovarian cyst, left side [Sibling]
  • N83.209 — Unspecified ovarian cyst, unspecified side [Sibling]
  • N83.29 — Other ovarian cysts [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Nearest Codes in This Family

Official ICD-10-CM classifications closest to N83.42 in its code family, with their registry titles.

  • N83.332 — Acquired atrophy of left ovary and fallopian tube
  • N83.339 — Acquired atrophy of ovary and fallopian tube, unspecified side
  • N83.4 — Prolapse and hernia of ovary and fallopian tube
  • N83.40 — Prolapse and hernia of ovary and fallopian tube, unspecified side
  • N83.41 — Prolapse and hernia of right ovary and fallopian tube
  • N83.5 — Torsion of ovary, ovarian pedicle and fallopian tube
  • N83.51 — Torsion of ovary and ovarian pedicle
  • N83.511 — Torsion of right ovary and ovarian pedicle
  • N83.512 — Torsion of left ovary and ovarian pedicle
  • N83.519 — Torsion of ovary and ovarian pedicle, unspecified side

View all codes in the N83 family