2025 ICD-10-CM code R87.620
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Symptoms, signs, and abnormal clinical and laboratory findings - Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89) Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US).
Modifiers are not applicable to ICD-10 codes like R87.620. Modifiers are used with procedural codes to specify the circumstances of the service provided.
Medical necessity for a Pap smear with subsequent coding of R87.620 depends on the patient's age, risk factors (e.g., sexual history, smoking, family history of cervical cancer), and prior screening results.Abnormal findings necessitate further evaluation to rule out precancerous or cancerous lesions.
The clinical responsibility involves obtaining the vaginal smear, performing the cytological examination, and interpreting the results.This often involves collaboration between the physician, cytotechnologist, and potentially a pathologist. Follow-up care is determined based on the findings.
- Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R87.620 falls within the broader category of abnormal cytological findings in specimens from the vagina.
In simple words: This code means that an abnormal cell was found during a vaginal smear test, but doctors aren't sure what it means yet. More tests may be needed to figure out if there is a problem.
This ICD-10-CM code signifies atypical squamous cells of undetermined significance (ASC-US) identified during a cytologic examination of a vaginal smear.The findings are considered atypical but not definitively indicative of a high-grade squamous intraepithelial lesion (HSIL) or malignancy. Further investigation may be necessary to determine the underlying cause.
Example 1: A 35-year-old female presents for a routine Pap smear.The results reveal atypical squamous cells of undetermined significance (ASC-US).Further testing (e.g., colposcopy, HPV testing) is recommended., A 40-year-old female with a history of abnormal Pap smears undergoes a follow-up examination.The vaginal smear again shows ASC-US.The physician orders a repeat Pap smear in 6 months, and considers further evaluation., A 28-year-old female presents with vaginal bleeding and discomfort.A vaginal smear is performed to evaluate for infection or pathology. The cytology reveals ASC-US, which prompts a colposcopy to further investigate potential abnormalities.
Complete documentation should include the date of the Pap smear, the method of collection, the laboratory report with the specific cytological findings (ASC-US), any clinical signs or symptoms noted,and the physician’s plan for follow-up or further investigation.
** Always cross-reference R87.620 with the complete laboratory report and clinical findings.Accurate coding requires meticulous documentation to support the diagnosis.
- Revenue Code: Revenue codes will vary depending on the healthcare setting and specific services rendered. Consult your local coding guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes. Reimbursement is based on the procedures and services performed, which would be coded using CPT or HCPCS codes.These would then be linked to R87.620 to provide a complete clinical picture.
- Global Days : Not applicable.This is a diagnostic code, not a procedural code.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule : Not applicable.ICD-10 codes do not have fee schedules. Reimbursement is determined by the associated procedural codes and payer-specific policies.
- Specialties:Obstetrics and Gynecology, Pathology, Family Medicine
- Place of Service:Office, Outpatient clinic, Hospital