2025 ICD-10-CM code R87.62
(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) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Abnormal cytological findings in specimens from the vagina.
The medical necessity for this code is established by the presence of abnormal findings on vaginal cytology requiring further investigation to rule out or diagnose pathology.
Obstetrician-Gynecologist, Pathologist
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R87.62 is a subcategory under R87 (Abnormal cytological findings).
In simple words: This code means that a lab test of a sample from the vagina showed some unusual cells.More tests are needed to find out what is causing the unusual cells.
This code signifies abnormal results from a cytological examination of vaginal specimens.It encompasses a range of atypical cellular findings that do not meet criteria for specific diagnoses like cancer or precancerous conditions. Further investigation is typically required to determine the underlying cause.The code excludes specific diagnoses such as carcinoma in situ, vaginal intraepithelial neoplasia (VAIN), and dysplasia, as well as positive HPV DNA test results.Use additional codes to identify acquired absence of the uterus and cervix, if applicable (Z90.71).
Example 1: A 35-year-old woman undergoes a routine Pap smear, and the results reveal atypical squamous cells of undetermined significance (ASCUS) in the vaginal sample. The code R87.62 is assigned pending further investigation, such as a colposcopy., A 60-year-old post-menopausal woman presents with abnormal vaginal bleeding. A vaginal cytology test is performed, revealing atypical glandular cells (AGC).While AGC is not explicitly included in R87.62, the atypical nature of the cells necessitates the use of this code pending further evaluation with colposcopy and biopsy., Following a hysterectomy, a 48-year-old woman experiences persistent vaginal irritation.A vaginal cytology reveals inflammatory changes with some atypical cells.R87.62 would be assigned until further investigation identifies the cause of the inflammation and any underlying pathology.
Complete patient history, including symptoms,the results of the vaginal cytology, and any additional investigations (colposcopy, biopsy reports, etc.).
** Always cross-reference with other relevant codes and clinical information to ensure accurate coding.R87.62 should only be used when the findings are truly unspecified, and not when a more specific diagnosis is available.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Pathology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center