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N81.6

Billable

Rectocele

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where the rectum bulges into the posterior vaginal wall due to weakened support tissues between the rectum and vagina.

Coding Tips

  • •Differentiate from enterocele (N81.5) which involves small intestine herniation
  • •Document associated symptoms such as constipation or difficulty with bowel movements

Excludes 1 — Do NOT code together

Excludes 2 — Not included here, may code separately

Use Additional Code

  • code for any associated fecal incontinence, if applicable (R15.-)

Code Hierarchy

└N81Female genital prolapse└N81.6Rectocele
└N81.6Rectocele

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