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

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

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

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 R87.61

9 child codes. Green means billable.