Vaginal enterocele, congenital or acquired

This code represents a herniation of the peritoneal sac, typically containing small bowel, into the rectovaginal septum. This protrusion causes a bulge in the posterior vaginal wall, often leading to symptoms of pelvic pressure, dyspareunia, or defecatory dysfunction. It can be present from birth or develop later in life due to weakened pelvic floor support.

Use this code when documentation explicitly states a diagnosis of vaginal enterocele, whether congenital or acquired. This diagnosis is typically made through physical examination, often confirmed by imaging studies such as dynamic MRI or defecography. Look for terms like "enterocele," "posterior vaginal wall prolapse with small bowel," or "herniation of peritoneum into rectovaginal space."

• Differentiate from rectocele (protrusion of the rectum into the vagina) and cystocele (protrusion of the bladder into the vagina).
• Consider additional codes for associated pelvic organ prolapse conditions if documented, such as uterine prolapse or cystocele.
• Ensure the documentation specifies "vaginal" enterocele to avoid confusion with other types of enterocele.