MCMedicalCodingSoftware
R85.613

R85.613: High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)

Billable / specific codeICD-10-CM

R85.613 is a billable, specific ICD-10-CM code for high grade squamous intraepithelial lesion on cytologic smear of anus (hgsil). It is valid for submission on a claim.

Check R85.613 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R85.613

A category’s note binds every code beneath it.

Written on R85.61: Abnormal cytologic smear of anus

  • 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)

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

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

Excludes2 inherited from the categories above R85.613

Not part of this code, but both may be coded when both are present.

Written on R85.61: Abnormal cytologic smear of anus

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

Other codes that can never be billed with R85.613

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

Risk adjustment

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

Alphabetic index entries that lead here

  • HGSIL›anus
  • Abnormal, abnormality, abnormalities›cytology›anus›high grade squamous intraepithelial lesion(HGSIL)
  • Abnormal, abnormality, abnormalities›Papanicolaou›anus›high grade squamous intraepithelial lesion(HGSIL)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R85.61

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.