An abnormal Pap smear test does not mean you have cancer, but it could mean that you have precancerous cells or HPV.
Most abnormal Pap smears are caused by certain types of human papillomavirus, or HPV. Frequently, these viruses and the cell changes that they cause on the cervix will go away on their own. However, HPV may stay in the body for many years without causing any signs or symptoms.
Being alarmed or worried is a completely normal reaction when told your Pap smear is abnormal. An abnormal Pap smear may indicate that you have an infection or abnormal cells called dysplasia. It’s important to remember that abnormal Pap smear results do not mean you have cancer.
Unspecified abnormal cytological findings in specimens from cervix uteri. R87. 619 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R87.
R87. 619 - Unspecified abnormal cytological findings in specimens from cervix uteri | ICD-10-CM.
4) Vaginal Pap test (Z12. 72)
ICD-10 Code for Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)- R87. 612- Codify by AAPC.
411, Encounter for gynecological examination (general) (routine) with abnormal findings, or Z01. 419, Encounter for gynecological examination (general) (routine) without abnormal findings, may be used as the ICD-10-CM diagnosis code for the annual exam performed by an obstetrician–gynecologist.
ICD-10 code: Z12. 4 Special screening examination for neoplasm of cervix.
For example, Z12. 31 (Encounter for screening mammogram for malignant neoplasm of breast) is the correct code to use when you are ordering a routine mammogram for a patient. However, coders are coming across many routine mammogram orders that use Z12. 39 (Encounter for other screening for malignant neoplasm of breast).
Use code Z00. 01 as the primary code as well as the codes for the chronic condition(s). When to use code Z00. 00: Patient presents for an Annual Wellness Visit (AWV).
Low-grade squamous intraepithelial lesion (LSIL) is a common abnormal result on a Pap test. It's also known as mild dysplasia. LSIL means that your cervical cells show mild abnormalities. A LSIL, or abnormal Pap result, doesn't mean that you have cancer. The tissue that covers your cervix is made up of squamous cells.
High-grade squamous intraepithelial lesions look somewhat to very abnormal when looked at under a microscope. They are usually caused by chronic infection with certain types of human papillomavirus (HPV) and are found when a Pap test or biopsy is done.
Squamous intraepithelial lesions (SILs) are areas of abnormal tissue that may become cancerous. They're usually the result of HPV but might not develop until long after you get the infection.
4 - Encounter for screening for malignant neoplasm of cervix.
Specimens that are unsatisfactory for evaluation are reportable with diagnosis code 795.08. If the sample was unsatisfactory and another Pap test needs to be taken, clinicians should report 795.08 as the primary diagnosis to justify that the service is medically necessary.
ICD-10 Code for High risk human papillomavirus (HPV) DNA test positive from female genital organs- R87. 81- Codify by AAPC.
A search in your electronic health record will often find HCPCS code Q0091, “Screening Papanicolaou smear; obtaining, preparing, and conveyance of cervical or vaginal smear to laboratory.” Here's when to use (and when not to use) that code.
When the provider repeats a Pap smear because of an inadequate sample or abnormal results, you’ll report a code from R87.61- Abnormal cytological findings in specimens from cervix uteri.
There’s an impressive list of Excludes1 and Excludes2 notes at the R87.61- level, meaning the list applies to all codes in that subcategory.
Subcategory R87.61- has a lot of codes, so don’t miss two slightly different ones in the middle: