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.
Fact Checked by Ericka Pingol.
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
Commonly asked questions
An abnormal Pap smear ICD-10-CM code should be employed in medical documentation when diagnosing, treating, or billing for abnormal cervical cell findings detected through a Pap test.
Treatments depend on the severity of the abnormality. They range from simple observation and repeat testing to procedures like colposcopy, cryotherapy, loop electrosurgical excision procedure (LEEP), or even cone biopsy.
A diagnosis code for an abnormal Pap smear provides a standardized way of indicating the presence and type of cellular abnormalities found in the cervix during a Pap test. This assists in clinical management, research, and billing.
