N81.84
BillablePelvic muscle wasting
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N81.84 an HCC code?
No. N81.84 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
N81.84 is the ICD-10-CM diagnosis code for pelvic muscle wasting. Weakening and loss of muscle tissue in the pelvic floor, which can lead to reduced support for pelvic organs and potential dysfunction. N81.84 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering noninflammatory disorders of female genital tract (n80-n98).
N81.84 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Document the specific cause if known (e.g., aging, childbirth, chronic straining) as this may affect treatment planning.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N81.84 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the specific cause if known (e.g., aging, childbirth, chronic straining) as this may affect treatment planning
- •Distinguish from other pelvic floor disorders; pelvic muscle wasting is specifically about muscle atrophy rather than organ prolapse