Is R87.61 a billable ICD-10-CM code?

No. R87.61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R87.61 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).

What cannot be coded together with R87.61?

R87.61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R87.61

R87.61 — Abnormal cytological findings in specimens from cervix uteri

Non-billable headerICD-10-CM

R87.61 is a non-billable header ICD-10-CM code for abnormal cytological findings in specimens from cervix uteri. 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 female genital organs (R87.69)
abnormal cytological findings in specimens from vagina (R87.62-)
carcinoma in situ of cervix uteri (histologically confirmed) (D06.-)
cervical intraepithelial neoplasia I [CIN I] (N87.0)
cervical intraepithelial neoplasia II [CIN II] (N87.1)
cervical intraepithelial neoplasia III [CIN III] (D06.-)
dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)
severe dysplasia of cervix uteri (histologically confirmed) (D06.-)

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.

cervical high risk human papillomavirus (HPV) DNA test positive (R87.810)
cervical low risk human papillomavirus (HPV) DNA test positive (R87.820)

Other codes that can never be billed with R87.61

These codes carry an Excludes1 note pointing at R87.61. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R87.61 alone.

N87Dysplasia of cervix uteri
R87.62Abnormal cytological findings in specimens from vagina
D06Carcinoma in situ of cervix uteri

Risk adjustment

R87.61 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.

Code to one of these instead R87.61

9 child codes. Green means billable.

Related codes at this level

Codes that share R87.6. If R87.61 is not quite right, the correct code is usually one of these.

Questions about R87.61

Is R87.61 a billable ICD-10-CM code?: No. R87.61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R87.61 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).
What cannot be coded together with R87.61?: R87.61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.