icd-10 code for abnormal pap

by Marcelo Lesch 3 min read

R87.619

What are my chances of having an abnormal Pap?

  • If you have HIV
  • If your mother was exposed to diethylstilbestrol while pregnant
  • If you have a prior diagnosis of cervical cancer or an abnormal Pap smear with precancerous cells
  • If your immune system has become weak because of chemotherapy, chronic use of corticosteroids, or an organ transplant
  • If you smoke

What is the diagnosis code for abnormal Pap?

When patient have an abnormal Pap smear or have signs or symptoms of cervical, uterine or vaginal cancer. Use following CPT codes for Diagnostic Pap smear billing and coding. 88141-88143 88147-88148 88150 88152-88155 88164-88167 Note: Medicare may deny coverage if Low or high risk case are not reported with appropriate Diagnosis code.

What causes an abnormal Pap?

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.

Is abnormal Pap smear and HPV the same thing?

PAP smears and HPV testing have the same purpose which is to screen for cervical cancer. Screening aims to detect precancerous changes, which, if not treated, may lead to cancer. Pap smears and HPV screenings test for precancerous cells of the cervix. The cervix is the opening of the uterus (womb). It is part of a woman’s reproductive system.

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How do you code abnormal Pap smear?

ICD-10-CM Code for Unspecified abnormal cytological findings in specimens from cervix uteri R87. 619.

What is the ICD-10 code for cervical screening?

ICD-10 code Z12. 4 for Encounter for screening for malignant neoplasm of cervix is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for history of abnormal Pap smear?

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.

What ICD-10 code is reported for an abnormal cervical Pap smear?

What ICD-10-CM code is reported for an abnormal cervical pap smear? Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index for Abnormal, abnormality, abnormalities/Papanicolaou (smear)/cervix R87. 619.

What is the ICd 10 code for a mapped ICd 9?

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code R87.619 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

What is the ICd 10 code for cervical smear?

R87.619 is a billable diagnosis code used to specify a medical diagnosis of unspecified abnormal cytological findings in specimens from cervix uteri. The code R87.619 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code R87.619 might also be used to specify conditions or terms like abnormal cervical papanicolaou smear, abnormal cervical papanicolaou smear with positive human papillomavirus deoxyribonucleic acid test, abnormal cervical smear, atypical endocervical cells on cervical papanicolaou smear, cannot exclude glandular neoplasia on cervical smear , cervical smear - atrophic changes, etc.#N#The code R87.619 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.#N#The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as abnormal female genital cytology.#N#Unspecified diagnosis codes like R87.619 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

What is the difference between a Pap and HPV test?

With the Pap test, the lab checks the sample for cancer cells or abnormal cells that could become cancer later. With the HPV test, the lab checks for HPV infection. HPV is a virus that spreads through sexual contact. It can sometimes lead to cancer.

When to use R87.619?

Unspecified diagnosis codes like R87.619 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition.

Zero In on R87.61- Subcategory

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.

Look Elsewhere for These Diagnoses

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.

Know Which Code to Use for Inadequate Sample

Subcategory R87.61- has a lot of codes, so don’t miss two slightly different ones in the middle:

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