R87.623 — High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
R87.623 is a billable, specific ICD-10-CM code for high grade squamous intraepithelial lesion on cytologic smear of vagina (hgsil). It is valid for submission on a claim.
Other codes that can never be billed with R87.623
These codes carry an Excludes1 note pointing at R87.623. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R87.623 alone.
- N89Other noninflammatory disorders of vagina
Risk adjustment
R87.623 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 R87.623 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 R87.623.
- HGSIL›vagina
- Abnormal, abnormality, abnormalities›Papanicolaou›vagina›high grade squamous intraepithelial lesion(HGSIL)
Related codes at this level
Codes that share R87.62. If R87.623 is not quite right, the correct code is usually one of these.
- 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)
- R87.624Cytologic 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
Questions about R87.623
- Is R87.623 a billable ICD-10-CM code?
- Yes. R87.623 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R87.623 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).