icd code for lgsil, inadequate colpo

by Manley Leuschke 9 min read

612 for Low grade squamous intraepithelial lesion
squamous intraepithelial lesion
A squamous intraepithelial lesion (SIL) is an abnormal growth of epithelial cells on the surface of the cervix, commonly called squamous cells. This condition can lead to cervical cancer, but can be diagnosed using a Pap smear or a colposcopy.
https://en.wikipedia.org › Squamous_intraepithelial_lesion
on cytologic smear of cervix (LGSIL) is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

Full Answer

What is the ICD 10 code for low grade Squamous Intraepithelial Lesion?

Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL) R87.612 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM R87.612 became effective on October 1, 2018.

What is the ICD 9 code for colposcopy with conization?

Code 57461 (colposcopy with conization) is not reported since a repeat colposcopy probably is not required. ICD-9 coding. The ICD-9 coding is also important in this case. The ICD-9 codes in the 795.0 series describe nonspecific, abnormal findings on a Papanicolaou smear of the cervix.

What is the ICD 10 code for abnormal cervix?

Diagnosis Index entries containing back-references to R87.612: Abnormal, abnormality, abnormalities - see also Anomaly Papanicolaou (smear) cervix R87.619 ICD-10-CM Diagnosis Code R87.619 LGSIL (Low grade squamous intraepithelial lesion on cytologic smear of) cervix R87.612

What is the ICD 10 code for cyto SMR crvx (LGSIL)?

R87.612 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Low grade intrepith lesion cyto smr crvx (LGSIL) The 2020 edition of ICD-10-CM R87.612 became effective on October 1,...

image

What is unsatisfactory cytologic smear of cervix?

The Pap smear is the most common method to diagnose the abnormality of cervical cells. Unsatisfactory cytological screening means that the cytological screener could not diagnose the slide due to the amount or quality of cells in the slide.

What is ICD-10 code for low grade squamous intraepithelial lesion?

R87. 612 - Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL) | ICD-10-CM.

What is the ICD-10 code for incompetent cervix?

ICD-10 code O34. 3 for Maternal care for cervical incompetence is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .

What is diagnosis code M53 82?

M53. 82 - Other specified dorsopathies, cervical region. ICD-10-CM.

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 is the ICD 10 code for HPV?

ICD-10 Code for High risk human papillomavirus (HPV) DNA test positive from female genital organs- R87. 81- Codify by AAPC.

What is an incompetent cervix?

Cervical insufficiency (also called incompetent cervix) means your cervix opens (dilates) too early during pregnancy, usually without pain or contractions. Contractions are when the muscles of your uterus get tight and then relax. They help push your baby out of your uterus during labor and birth.

How do ICD-10 code atypical squamous cells of undetermined significance?

610 for Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US) is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is cervical funneling during pregnancy?

Cervical funnelling is a sign of cervical incompetence and represents the dilatation of the internal part of the cervical canal and reduction of the cervical length. Greater than 50% funnelling before 25 weeks is associated with ~80% risk of preterm delivery.

What is the ICD-10 code for cervical facet arthropathy?

92.

What is Dorsopathy?

Dorsopathy – a group of diseases of the spine and paravertebral tissues. The main causes of this disease is the increased load on the spine, impaired nutrition and blood supply to the vertebrae and tissues, as well as shocks, falls from a height on the spine or legs and other injuries.

What is the ICD-10 code for cervical myelopathy?

02 for Cervical disc disorder with myelopathy, mid-cervical region is a medical classification as listed by WHO under the range - Dorsopathies .

What is the code for cervical colposcopy?

All of the cervical colposcopy codes (57452-57461) include examination of the entire transformation zone and may also include an examination of the upper/adjacent portion of the vagina. The primary focus of the colposcopy is on the cervix.

How much would Dr. King receive for a vulvar colposcopy?

If Dr. King had reduced his fee for the vulvar colposcopy to $100 and the payer reduced it again by 50%, he would receive only $500 for the two procedures ($450 for the first and only $50 for the second).

Why does Dr. King use E/M code?

King reports an Evaluation and Management Service (E/M) code because he obtained additional history and performed a physical examination prior to determining the need for the colposcopic procedures. CPT guidelines indicate that if a significant and separately identifiable E/M service is necessary, it can be reported by appending the –25 modifier (significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) to the appropriate level of care. Because Dr. Lear asked Dr. King to assess Cordelia's condition, Dr. King selects a consultation code. The level reflects the history, examination, and medical decision-making provided by Dr. King. Another physician who sees a similar patient might select a different level of care.

Is 57460 a conization?

Code 57460 is reported only once regardless of the number of specimens obtained. It does not, however, include removal of a portion of the endocervix or removal of the transformation zone, so the loop excision described by this code is not a conization.

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:

What is colposcopy in surgery?

In the event that irregular areas of tissue should be completely uprooted, a colposcopy is regularly utilized as a visual guide amid surgery. Removal of the tissue can occur during the biopsy or at a later time if the patient wishes. This procedure is also called as the cone biopsy.

What is a low grade squamous intraepithelial lesion?

A low grade squamous intraepithelial lesion or LGSIL is one in which the cells are not extremely abnormal and very little of the cervix is get affected. A high grade squamous intraepithelial lesion (generally curtailed HGSIL) is one in which the cells are extremely abnormal and a significant part of the cervix is affected.

Does a low grade squamous intraepithelial lesion mean malignancy?

Having a low grade squamous intraepithelial lesion does not imply that malignancy is present. Cancer is an anomalous development of new tissue characterized by uncontrolled growth of abnormally structured cells that have a more primitive structure. The presence of low-grade squamous intraepithelial lesions represents changes in cells ...

Is a colposcopy more conclusive than a Pap smear?

The aftereffects of the colposcopy, and not the Pap smear, will give the premise to treatment. This is on account of a colposcopy (combined with a biopsy) is a more conclusive test than the Pap smear. The objective of treatment is to devastate and/or uproot the anomalous cells on the cervix so that new healthy cells will become over ...

image