R85.61

R85.61: Abnormal cytologic smear of anus

Non-billable headerICD-10-CM

R85.61 is a non-billable header ICD-10-CM code for abnormal cytologic smear of anus. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

abnormal cytological findings in specimens from other digestive organs and abdominal cavity (R85.69)
carcinoma in situ of anus (histologically confirmed) (D01.3)
anal intraepithelial neoplasia I [AIN I] (K62.82)
anal intraepithelial neoplasia II [AIN II] (K62.82)
anal intraepithelial neoplasia III [AIN III] (D01.3)
dysplasia (mild) (moderate) of anus (histologically confirmed) (K62.82)
severe dysplasia of anus (histologically confirmed) (D01.3)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

anal high risk human papillomavirus (HPV) DNA test positive (R85.81)
anal low risk human papillomavirus (HPV) DNA test positive (R85.82)

Excludes1 inherited from the categories above R85.61

A category’s note binds every code beneath it.

Written on R85: Abnormal findings in specimens from digestive organs and abdominal cavity

cloudy peritoneal dialysis effluent (R88.0)
fecal abnormalities (R19.5)

Other codes that can never be billed with R85.61

Their own Excludes1 notes name this code, so the conflict is not listed above.

K62.82Dysplasia of anus

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead R85.61

9 child codes. Green means billable.

Other codes under R85.6

R85.69Abnormal cytological findings in specimens from other digestive organs and abdominal cavity