2025 ICD-10-CM code R87.611

Atypical squamous cells cannot exclude high-grade squamous intraepithelial lesion on a cervical cytologic smear (ASC-H).

Adhere to the official ICD-10-CM coding guidelines.Code selection should reflect the findings of the Pap smear and any subsequent investigations.

Medical necessity is established by the presence of atypical squamous cells on the cervical Pap smear.Further investigation, such as colposcopy and biopsy, is medically necessary to rule out high-grade squamous intraepithelial lesions (HSIL) and cervical cancer. Documentation demonstrating the clinical indication and results of the testing are vital for demonstrating medical necessity to payers.

The clinical responsibility lies with the physician or healthcare professional who interprets the Pap smear results and orders further investigations such as colposcopy and biopsy to fully evaluate the cervical lesions.This might involve a gynecologist or other qualified specialist in women's health.

IMPORTANT Related codes include R87.610 (ASC-US), R87.612 (LGSIL), R87.613 (HGSIL), and R87.614 (cytologic evidence of malignancy).ICD-9 codes 795.02 (ASC-H) may also be relevant for historical comparison.

In simple words: This code means the results of a Pap smear (a test for cervical cancer) showed some abnormal cells that might indicate a problem, requiring further tests to confirm if there is a serious issue.

This ICD-10-CM code signifies atypical squamous cells on a Pap smear from the cervix that cannot rule out a high-grade squamous intraepithelial lesion (ASC-H).It represents an abnormal finding requiring further investigation to determine the precise nature of the cervical cellular abnormality. This is a significant finding, warranting additional diagnostic procedures such as colposcopy and biopsy, to evaluate the possibility of precancerous or cancerous changes.

Example 1: A 35-year-old female presents for a routine Pap smear. The results reveal atypical squamous cells, which cannot exclude high-grade squamous intraepithelial lesion (ASC-H).Colposcopy is scheduled to further assess the cervix., A 42-year-old woman with a history of abnormal Pap smears undergoes a repeat Pap smear.The results again show ASC-H.A colposcopy with biopsy is performed, revealing CIN II, necessitating further management., A 28-year-old woman with abnormal vaginal bleeding has a Pap smear revealing ASC-H.Further investigation with colposcopy and biopsy is performed to rule out any pre-cancerous or cancerous changes in the cervix.

Complete and legible Pap smear report specifying ASC-H findings. Detailed colposcopy report including images and biopsy results. Pathology report for any tissue samples taken.

** This code is used for reporting purposes only; it should not be considered a definitive diagnosis. Further testing and evaluation are always necessary.

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