N81.89 Other female genital prolapse

ICD10CM code

#### Name of the Condition
- Other Female Genital Prolapse (ICD-10: N81.89)

#### Summary
- Other female genital prolapse refers to conditions where the pelvic organs, such as the uterus, bladder, or rectum, slip from their normal position and protrude into the vaginal canal. It's a form of pelvic organ prolapse that does not fit into specific categories like cystocele or rectocele.

#### Causes
- The condition can occur due to weakening of the pelvic floor muscles following childbirth, aging, menopause, or after surgery. Chronic conditions that increase abdominal pressure, such as chronic cough or constipation, and obesity can also contribute.

#### Risk Factors
- Risk factors include giving birth (particularly vaginally), being post-menopausal, undergoing hysterectomy, obesity, repetitive heavy lifting, and a family history of prolapse.

#### Symptoms
- Common symptoms include a feeling of heaviness or pulling in the pelvis, tissue protruding from the vagina, urinary problems, discomfort during intercourse, and lower back pain.

#### Diagnosis
- Diagnosis typically involves a pelvic examination to assess the extent and location of the prolapse. Additional tests such as urinalysis, ultrasound, or MRI may be used to evaluate the condition further.

#### Treatment Options
- Treatments vary based on severity and may include pelvic floor exercises (Kegels), use of a vaginal pessary to support prolapsed organs, or surgery (e.g., pelvic floor repair or hysterectomy). These treatments help to alleviate symptoms and restore organ normalcy.

#### Prognosis and Follow-Up
- With appropriate management, many women experience significant relief of symptoms. Regular follow-up appointments are essential for monitoring the condition and adjusting treatment plans as needed.

#### Complications
- If untreated, complications might include chronic discomfort, urinary retention or incontinence, infection, and impact on sexual function.

#### Lifestyle & Prevention
- Preventive measures include maintaining a healthy weight, doing pelvic floor exercises, avoiding heavy lifting, and treating chronic coughing conditions. A diet high in fiber can prevent constipation.

#### When to Seek Professional Help
- Immediate medical attention is necessary if the prolapse is severe, symptoms worsen, there is discomfort during urination, or difficulty with bowel movements.

#### Additional Resources
- [American Urogynecologic Society](https://www.augs.org/)
- [Mayo Clinic: Pelvic Organ Prolapse](https://www.mayoclinic.org)

#### Tips for Medical Coders
- Ensure the specificity of the prolapse type is captured accurately in coding.
- Be aware of common coding errors such as misclassifying other related prolapses or omitting coexisting conditions.

Similar Codes