Cystocele ICD-10-CM Codes | 2023

Read this short guide to learn about Cystocele ICD codes you can use

By Karina Jimenea on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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Cystocele ICD-10-CM Codes | 2023

What Cystocele ICD-10 codes can I use?

If you’re looking for Cystocele ICD codes, there are three that you can use. Here they are:

  • N81.10 - Cystocele, unspecified

This ICD-10 code is meant to be used on a female patient confirmed to have a cystocele, also known as a fallen bladder.

This code has an unspecified label. What is unspecified is if the cystocele is midline or lateral. Once you confirm what specific kind of cystocele the patient has, please use either Item 2 or 3.

  • N81.11 - Cystocele, midline

This ICD-10 code is meant to be used on a female patient confirmed to have a midline cystocele, which means there is a break in the midline of the pubocervical fascia.

  • N81.12 - Cystocele, lateral

This ICD-10 code is meant to be used on a female patient confirmed to have a lateral cystocele, which means there is a break in the lateral of the pubocervical fascia.

Are these Cystocele ICD-10 codes billable?

Yes. All three of these ICD-10 codes for Cystocele are valid and billable.

Clinical Information About Cystoceles:

Cystocele is the term that medical professionals use when referring to the weakening and stretching of the ligaments and muscles located around the bladder and vaginal wall. Because these ligaments and muscles are weakened, the bladder bulges into the vagina.

Cystoceles happen as a result of damage to these muscles and ligaments. Damage can occur as a result of the following potential factors and causes:

  • Genetics (being related to people who’ve had cystoceles before)
  • Being obese
  • Vaginal births (this strains the muscles on the pelvic floor)
  • Estrogen decline in the body due to age
  • Having a history of hysterectomy (surgical removal of the uterus)

Synonyms Include:

  • Cystocele affecting obstetric care
  • Cystocele affecting pregnancy
  • Cystocele in pregnancy, childbirth and the puerperium
  • Prolapse of vaginal walls without uterine prolapse
  • Vaginal wall prolapse
  • Vaginal wall prolapsed at introitus
  • Cystocele ICD 10
  • ICD 10 code for cystocele
  • ICD 10 cystocele
  • ICD 10 for cystocele
  • ICD 10 code for cystocele with rectocele
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Commonly asked questions

What symptoms/signs should a female look out for to determine the possibility that they might have a cystocele?

They need to take note of the following signs/symptoms:

  • If they feel or see something bulging through the vaginal opening
  • If they go to the bathroom more than usual and have difficulty emptying their bladder
  • If they have difficulty inserting the likes of tampons and menstrual cups
  • If they feel pain and heaviness in the pelvic area
  • If they frequently get urinary tract infections

How do healthcare professionals detect and diagnose cystoceles?

Urologists and gynecologists will conduct physical examinations, urodynamic testing, and cystoscopies.

How are cystoceles treated?

Conservative treatment involves maintaining a healthy weight, avoiding heavy lifting, and kegel exercises (which involve tightening pelvic floor muscles).

Some might resort to placing a pessary device in the vagina to hold the bladder in place.

For severe cases of cystoceles, performing anterior colporrhaphy might be the best choice. This surgical procedure returns the bladder to its original position and tightens the muscles to hold it.

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