R87.62 — Abnormal cytological findings in specimens from vagina
R87.62 is a non-billable header ICD-10-CM code for abnormal cytological findings in specimens from vagina. 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 cervix uteri (R87.61-)
- abnormal cytological findings in specimens from other female genital organs (R87.69)
- carcinoma in situ of vagina (histologically confirmed) (D07.2)
- vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
- vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
- vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
- dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
- severe dysplasia of vagina (histologically confirmed) (D07.2)
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.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify acquired absence of uterus and cervix, if applicable (Z90.71-)
Other codes that can never be billed with R87.62
These codes carry an Excludes1 note pointing at R87.62. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R87.62 alone.
Risk adjustment
R87.62 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 R87.62
8 child codes. Green means billable.
- R87.620Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
- R87.621Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
- R87.622Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)
- R87.623High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
- R87.624Cytologic evidence of malignancy on smear of vagina
- R87.625Unsatisfactory cytologic smear of vagina
- R87.628Other abnormal cytological findings on specimens from vagina
- R87.629Unspecified abnormal cytological findings in specimens from vagina
Related codes at this level
Codes that share R87.6. If R87.62 is not quite right, the correct code is usually one of these.
Questions about R87.62
- Is R87.62 a billable ICD-10-CM code?
- No. R87.62 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does R87.62 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 R87.62?
- R87.62 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.