2025 ICD-10-CM code R87.61

Abnormal cytological findings in specimens from the cervix uteri.

The 6th character is required for accurate coding.Appropriate 6th characters depend on the specific cytological findings (e.g., ASC-US, ASC-H, LGSIL, HGSIL).This code should only be used when the cytological findings are abnormal, but the diagnosis remains unclear.

The medical necessity for this code is established by the presence of abnormal findings on a cervical cytology smear.Further investigation is usually deemed medically necessary to determine the etiology of the abnormality and appropriate management.

Obstetrician-Gynecologist, Pathologist

IMPORTANT R87.610 (Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)), R87.611 (Atypical squamous cells cannot exclude high-grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)), R87.612 (Low-grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)), R87.613 (High-grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)), R87.614 (Cytologic evidence of malignancy on smear of cervix), R87.616 (Satisfactory cervical smear but lacking transformation zone), R87.618 (Other abnormal cytological findings on specimens from cervix uteri), R87.619 (Unspecified abnormal cytological findings in specimens from cervix uteri), R87.69 (Abnormal cytological findings in specimens from other female genital organs), R87.62- (Abnormal cytological findings in specimens from vagina)

In simple words: This code means that an abnormal result was found on a test of cells from the cervix (the lower part of the uterus).More tests are likely needed to figure out exactly what the problem is.

This ICD-10-CM code signifies abnormal results from a cytological examination of cells collected from the cervix uteri.It encompasses various findings that are not specific enough to be categorized under other, more definitive diagnostic codes.This code is used when the cytology results show abnormalities but further testing is needed to determine the precise nature of the abnormality.

Example 1: A 30-year-old female presents for a routine Pap smear. The results reveal atypical squamous cells of undetermined significance (ASC-US). Code R87.61 is used, pending further investigation such as colposcopy and biopsy., A 45-year-old female with abnormal vaginal bleeding undergoes a Pap smear. The cytology shows high-grade squamous intraepithelial lesion (HGSIL).While HGSIL has a more specific code, R87.61 might be used initially if immediate confirmation is not available., A 25-year-old female undergoes a routine Pap smear, and the results show atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion (ASC-H).Code R87.61 is assigned until further testing clarifies the diagnosis.

* Detailed report of the Pap smear cytology results.* Documentation of the patient's medical history, including risk factors for cervical cancer.* If further testing was performed (colposcopy, biopsy), include reports of these procedures.* Physician's interpretation and diagnostic impression.

** This code is frequently used as a placeholder while awaiting results of further investigations. It should not be used when a more specific diagnosis can be established.Accurate and detailed documentation is crucial for appropriate reimbursement.

  • Payment Status: Active
  • Specialties:Obstetrics & Gynecology, Pathology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
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