Abnormal Pap Smear ICD-10-CM Codes

Abnormal Pap Smear ICD-10-CM Codes

ICD-10 Codes for Abnormal Pap Smear: Dive into the ICD-10-CM codes essential for diagnosing and documenting abnormal Pap smear results in 2023.

By Karina Jimenea on Jul 15, 2025.

Fact Checked by Ericka Pingol.

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What ICD-10 Codes are Used for Abnormal Pap Smear

A Pap smear, or Pap test, is a procedure to test for cervical cancer in women. An abnormal Pap smear doesn't necessarily mean a woman has cancer, but it can indicate changes in the cells of the cervix. The ICD-10-CM system provides specific codes to classify and detail these abnormalities.

Here are some commonly used ICD-10-CM codes for abnormal Pap smears:

1. R87.610: Atypical squamous cells of the cervix cannot exclude high-grade squamous intraepithelial lesion (ASC-H)

Clinical Description: Cervical cells appear abnormal but are not definitively pre-cancerous, though high-grade lesions can't be ruled out.

2. R87.611: Atypical squamous cells of the cervix with a low-grade squamous intraepithelial lesion (ASC-US)

Clinical Description: Cervical cells appear abnormal but are likely low-risk and may not require treatment.

3. R87.612: Low-grade squamous intraepithelial lesion of the cervix (LGSIL)

Clinical Description: Mild dysplasia or changes in the cervical cells that are considered to be a precursor to cervical cancer.

4. R87.613: High-grade squamous intraepithelial lesion of the cervix (HGSIL)

Clinical Description: Significant changes in cervical cells indicate a higher risk of developing cervical cancer.

5. R87.69: Other abnormal cytological findings on specimens from cervix uteri

Clinical Description: Other unspecified abnormalities were found in cervical cell samples.

Which Abnormal Pap Smear ICD Codes are Billable:

  • R87.610: Yes
  • R87.611: Yes
  • R87.612: Yes
  • R87.613: Yes
  • R87.69: Yes

Clinical Information

  • Pap smears are a pivotal screening tool for detecting early-stage cervical cancer or precancerous conditions.
  • Most abnormal Pap smear results are due to HPV (human papillomavirus) infections or other infections.
  • Not all abnormalities indicate cancer; many are low-risk and can resolve independently.
  • Depending on the result, follow-up procedures may include repeat Pap tests, an HPV test, or a colposcopy.
  • Regular screening and early detection can significantly reduce the risk of advanced cervical cancer.

Synonyms Include

  • Abnormal Pap test
  • Dysplasia of cervix
  • Cervical cell changes
  • Abnormal cervical smear
  • Atypical cervical cells
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