2025 ICD-10-CM code R87.622
(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
Low-grade squamous intraepithelial lesion (LGSIL) on a vaginal cytologic smear.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the appropriate guidelines for modifier application.
Medical necessity is established when abnormal vaginal cytology findings suggest a need for further evaluation to rule out or diagnose precancerous or cancerous conditions.
The clinical responsibility lies with the healthcare provider who performs the vaginal cytologic examination, assesses the results, and makes the diagnosis.This would typically be a gynecologist or pathologist.
- Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R87.622 falls under the broader category of abnormal findings on examination of other body fluids, substances, and tissues, without diagnosis (R83-R89).
In simple words: This code means that an abnormal cell growth was found in a sample taken from the vagina. This type of abnormal growth is considered precancerous and needs further investigation.
This ICD-10-CM code signifies the presence of a low-grade squamous intraepithelial lesion (LGSIL) detected during a cytological examination of a vaginal smear.LGSIL represents a precancerous condition characterized by abnormal cell growth in the vaginal lining.The diagnosis is established through microscopic analysis of the cellular sample obtained from the vagina. This code is for diagnostic purposes and should not be used for screening purposes unless specific criteria for diagnostic testing are met.
Example 1: A 35-year-old female presents with abnormal vaginal bleeding. A Pap smear is ordered and reveals LGSIL. Further evaluation, such as colposcopy and biopsy, is recommended., A 28-year-old female undergoes a routine Pap smear as part of a well-woman exam. The results reveal LGSIL, prompting additional diagnostic testing and potential intervention., A 42-year-old female presents with postmenopausal bleeding. A vaginal cytologic smear is performed revealing LGSIL.This requires a workup to rule out malignancy.
Complete patient history, including any symptoms (e.g., vaginal bleeding, discharge);detailed description of the cytological findings;results of any additional diagnostic procedures (e.g., colposcopy, biopsy); and the final diagnosis.
** This code should only be used when LGSIL is found on a vaginal smear.If the abnormal finding is in the cervix, the appropriate R87.61x code should be used.Always code to the highest level of specificity based on the complete clinical picture.
- Revenue Code: Revenue codes will vary depending on the healthcare setting and the services provided.Consult your specific revenue code guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.RVUs are specific to CPT codes and are used for calculating reimbursement amounts based on the work involved in a procedure.
- Global Days : Not applicable. This is a diagnostic code, not a procedural code with a global period.
- Payment Status: Active
- Modifier TC rule: Not applicable. This is a diagnostic code.
- Fee Schedule : Not applicable. Fee schedules are associated with procedure codes, not diagnostic codes.
- Specialties:Gynecology, Pathology
- Place of Service:Office, Outpatient clinic, Hospital