Uterovaginal prolapse, complete

This code signifies a severe form of pelvic organ prolapse where the uterus and vaginal vault have completely descended outside the vaginal introitus. It represents a full eversion of the vagina, often accompanied by the uterus. This condition results from significant weakening of the pelvic floor support structures.

Assign this code when documentation clearly indicates a complete uterovaginal prolapse, meaning the entire uterus and vagina are protruding beyond the hymenal ring. This is typically diagnosed during a physical examination where the extent of the prolapse is visually confirmed. Documentation should specify "complete" or "procidentia."

• Differentiate from incomplete uterovaginal prolapse (e.g., first, second, or third degree) where the descent is not fully externalized.
• Ensure the documentation explicitly states "complete" or "procidentia" to support this specific code.
• Consider additional codes for any associated urinary, bowel, or sexual dysfunction if documented.