icd 10 code for abnormal pap smear hpv

by Mrs. Madie Senger 4 min read

Cervical high risk human papillomavirus (HPV) DNA test positive. R87.810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM R87.810 became effective on October 1, 2018.

619: Unspecified abnormal cytological findings in specimens from cervix uteri.

Full Answer

What are the reasons for an abnormal Pap smear?

  • Yeast infection
  • Bacterial vaginosis
  • Trichomoniasis
  • Chlamydia
  • Gonorrhea
  • Herpes simplex virus

What is Pap smear and what do my results mean?

You might need more frequent testing if:

  • you’re at high risk of cervical cancer
  • you’ve had abnormal Pap test results in the past
  • you have a weakened immune system or are HIV-positive
  • your mother was exposed to diethylstilbestrol while pregnant

What if my Pap test results are abnormal?

You may need to come back sooner if you had abnormal results in the past. Abnormal Pap test results: An abnormal test result may also be called a positive test result. An abnormal test result does not mean you have cervical cancer. Possible abnormal findings on a Pap test include ASC-US, AGC, LSIL, ASC-H, HSIL, AIS, or cervical cancer. Your health care provider will recommend follow-up steps you need to take based on your specific test result and your past test results.

What is the diagnosis code for Pap smear?

Z12.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z12.4 became effective on October 1, 2020. This is the American ICD-10-CM version of Z12.4 - other international versions of ICD-10 Z12.4 may differ.

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

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

What is the ICD-10 code for HPV screening?

ICD-10 code Z11. 51 for Encounter for screening for human papillomavirus (HPV) is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the diagnosis code for HPV?

R87. 810 - Cervical high risk human papillomavirus (HPV) DNA test positive | ICD-10-CM.

What is the code for abnormal Cervical Pap smear?

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

What does diagnosis Z12 4 mean?

Z12.4 – Encounter for screening for malignant neoplasm of cervix*

What does code Z12 31 mean?

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.

What is the ICD-10 code for HPV in female?

81 for High risk human papillomavirus (HPV) DNA test positive from female genital organs is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the ICD-10 code for CIN 2?

2022 ICD-10-CM Diagnosis Code N87. 1: Moderate cervical dysplasia.

What is the CPT code for HPV?

CPT code 90650 is an FDA-approved HPV vaccine for females only age 9-26. For recipients age 9-18, code 90650 is reimbursed through the VFC program. The three-dose schedule for either code for recipients over age 18 must begin and end before the recipient turns 27.

What is the ICD-10 code for CIN 3?

The appropriate ICD-9-CM code is 233.1 (CIN III/CIS/Severe Dysplasia). The appropriate ICD-10-CM code is D06.

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:

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy for L34089-Human Papillomavirus (HPV) Testing.

ICD-10-CM Codes that Support Medical Necessity

It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM. The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

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