R85.613 — High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
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.
Other codes that can never be billed with R85.613
These codes carry an Excludes1 note pointing at R85.613. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R85.613 alone.
- K62.82Dysplasia of anus
Risk adjustment
R85.613 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How R85.613 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R85.613.
- HGSIL›anus
- Abnormal, abnormality, abnormalities›cytology›anus›high grade squamous intraepithelial lesion(HGSIL)
- Abnormal, abnormality, abnormalities›Papanicolaou›anus›high grade squamous intraepithelial lesion(HGSIL)
Related codes at this level
Codes that share R85.61. If R85.613 is not quite right, the correct code is usually one of these.
- R85.610Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)
- R85.611Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)
- R85.612Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)
- R85.614Cytologic evidence of malignancy on smear of anus
- R85.615Unsatisfactory cytologic smear of anus
- R85.616Satisfactory anal smear but lacking transformation zone
- R85.618Other abnormal cytological findings on specimens from anus
- R85.619Unspecified abnormal cytological findings in specimens from anus
Questions about R85.613
- Is R85.613 a billable ICD-10-CM code?
- Yes. R85.613 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R85.613 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89).