History Of Abnormal Pap ICD-10-CM Codes

Explore ICD-10-CM codes for a history of abnormal Pap smears. Learn about standard codes, and billable statuses, and gain clinical insights in this comprehensive guide.

By RJ Gumban on Feb 29, 2024.

Fact Checked by Nate Lacson.

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History Of Abnormal Pap ICD-10-CM Codes

What ICD-10 Codes are Used for History of Abnormal Pap?

A history of abnormal Pap smears is significant for monitoring and managing cervical health. Here are ten commonly used ICD-10-CM codes for History of Abnormal Pap, along with brief clinical descriptions:

Z12.4 - Encounter for screening for malignant neoplasm of cervix: Used for encounters related explicitly to cervical cancer screening, including Pap smears.

R87.612 - Abnormal cytological findings in specimens from cervix uteri: Applied when a Pap smear shows abnormal cytological findings from the cervix.

N87.1 - Mild cervical dysplasia: Utilized for cases with a history of mild cervical dysplasia, indicating slight abnormal cell changes.

N87.9 - Dysplasia of cervix uteri, unspecified: Used when there is a history of cervical dysplasia, but the severity is unspecified.

Z01.411 - Encounter for gynecological examination (general) (routine) with abnormal findings: Applied when a gynecological examination reveals abnormal findings, including abnormal Pap smear results.

N87.2 - Moderate cervical dysplasia: Utilized for cases with a history of moderate cervical dysplasia, indicating more pronounced abnormal cell changes.

N87.3 - Severe cervical dysplasia: Used for cases with severe cervical dysplasia, indicating significant abnormal cell changes.

N87.4 - Carcinoma in situ of cervix uteri: Applied when the cervix's history of carcinoma in situ (pre-cancerous cells) is documented.

N87.8 - Other dysplasia of cervix uteri: Utilized for other specified cervical dysplasia cases not categorized elsewhere.

N87.9 - Dysplasia of cervix uteri, unspecified: Used for unspecified cervical dysplasia cases in the medical history.

Which History of Abnormal Pap ICD Codes are Billable?

The billable status of the mentioned ICD-10 codes for a history of abnormal Pap smears varies:

Z12.4 - Encounter for screening for malignant neoplasm of cervix: Yes, billable. Medical expenses related to cervical cancer screening encounters, including Pap smears, are eligible for reimbursement.

R87.612 - Abnormal cytological findings in specimens from cervix uteri: Yes, billable. Costs associated with encounters where Pap smears show abnormal cytological findings from the cervix can be reimbursed.

N87.1 - Mild cervical dysplasia: Yes, billable. Medical expenses related to a history of mild cervical dysplasia are eligible for reimbursement.

N87.9 - Dysplasia of cervix uteri, unspecified: Yes, billable. Costs associated with a history of unspecified cervical dysplasia are eligible for reimbursement.

Z01.411 - Encounter for gynecological examination with abnormal findings: Yes, billable. Medical expenses for gynecological examinations with abnormal findings, including abnormal Pap smear results, can be claimed.

N87.2 - Moderate cervical dysplasia: Yes, billable. Medical expenses related to a history of moderate cervical dysplasia are eligible for reimbursement.

N87.3 - Severe cervical dysplasia: Yes, billable. Costs associated with a history of severe cervical dysplasia are eligible for reimbursement.

N87.4 - Carcinoma in situ of cervix uteri: Yes, billable. Expenses for a history of carcinoma in situ (pre-cancerous cells) of the cervix can be claimed.

N87.8 - Other dysplasia of cervix uteri: Yes, billable. Costs associated with other specified cervical dysplasia cases not categorized elsewhere can be reimbursed.

N87.9 - Dysplasia of cervix uteri, unspecified: Yes, billable. Medical expenses related to a history of unspecified cervical dysplasia are eligible for reimbursement.

Clinical Information

  • An abnormal Pap smear history indicates a prior finding of abnormal cervical cell changes.
  • The Pap smear (Pap test) is a screening tool for cervical cancer and pre-cancerous changes.
  • Abnormal results may indicate the presence of human papillomavirus (HPV) or cellular abnormalities.
  • Further evaluation, such as colposcopy and biopsy, is often required to determine the extent and nature of abnormalities.
  • The management and follow-up of abnormal Pap results depend on the specific findings, including low-grade or high-grade.
  • Treatment may involve watchful waiting, repeat testing, or procedures like cervical conization to remove abnormal tissue.
  • Close monitoring and follow-up are crucial to promptly address any precancerous changes.
  • Patient education should emphasize the importance of regular Pap testing and HPV vaccination for cervical cancer prevention.
  • Healthcare practitioners may recommend more frequent screenings or continued surveillance depending on the history of abnormal Paps and treatments.
  • A thorough patient history and communication are essential to tailor management and follow-up plans based on individual circumstances.

Synonyms Include

  • Abnormal Pap Test Results
  • Abnormal Cervical Screening
  • History of Atypical Pap Smear
  • Previous Abnormal Pap Results
  • Cervical Screening Abnormalities
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Commonly asked questions

Are abnormal Pap smear results always indicative of cancer?

No, abnormal Pap smear results do not always indicate cancer. They can be caused by various factors, including infections or cell changes that may or may not lead to cancer. Further tests and evaluation are needed to determine the cause and appropriate treatment.

How often should women have Pap smears?

The frequency of Pap smears depends on factors like age, medical history, and previous Pap smear results. Generally, it's recommended that women start regular Pap smears at age 21 and follow the screening guidelines provided by their healthcare provider.

Can abnormal Pap smears be treated?

Yes, depending on the cause of the abnormalities, treatment may be necessary. This can include monitoring for resolution, addressing infections, or removing abnormal cervical tissue to prevent progression to cancer. Treatment is determined on a case-by-case basis.

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