2023

  1. ICD-10-CM Codes
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  2. R00-R99
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  3. R83-R89
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  4. R87-
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  5. 2023 ICD-10-CM Diagnosis Code R87.613

2023 ICD-10-CM Diagnosis Code R87.613

High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • R87.613 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: High grade intrepith lesion cyto smr crvx (HGSIL)
  • The 2023 edition of ICD-10-CM R87.613 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R87.613 - other international versions of ICD-10 R87.613 may differ.
ICD-10-CM Coding Rules
  • R87.613 is applicable to female patients.
The following code(s) above R87.613 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R87.613:
  • R00-R99
    2023 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R83-R89
    2023 ICD-10-CM Range R83-R89

    Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis

    Type 1 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • diagnostic abnormal findings classified elsewhere - see Alphabetical Index
    Type 2 Excludes
    • abnormal findings on examination of blood, without diagnosis (R70-R79)
    • abnormal findings on examination of urine, without diagnosis (R80-R82)
    • abnormal tumor markers (R97.-)
    Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis
  • R87
    ICD-10-CM Diagnosis Code R87

    Abnormal findings in specimens from female genital organs

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • abnormal findings in secretion and smears from cervix uteri
    • abnormal findings in secretion and smears from vagina
    • abnormal findings in secretion and smears from vulva
    Abnormal findings in specimens from female genital organs
  • R87.61
    ICD-10-CM Diagnosis Code R87.61

    Abnormal cytological findings in specimens from cervix uteri

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • abnormal cytological findings in specimens from other female genital organs (R87.69)
    • abnormal cytological findings in specimens from vagina (R87.62-)
    • carcinoma in situ of cervix uteri (histologically confirmed) (D06.-)
    • cervical intraepithelial neoplasia I [CIN I] (N87.0)
    • cervical intraepithelial neoplasia II [CIN II] (N87.1)
    • cervical intraepithelial neoplasia III [CIN III] (D06.-)
    • dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)
    • severe dysplasia of cervix uteri (histologically confirmed) (D06.-)
    Type 2 Excludes
    • cervical high risk human papillomavirus (HPV) DNA test positive (R87.810)
    • cervical low risk human papillomavirus (HPV) DNA test positive (R87.820)
    Abnormal cytological findings in specimens from cervix uteri
Approximate Synonyms
  • Cervicovaginal cytology: high grade squamous intraepithelial lesion or carcinoma
  • High grade squamous intraepithelial lesion on cervical papanicolaou smear
  • High grade squamous intraepithelial lesion, pap smear
ICD-10-CM R87.613 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 742 Uterine and adnexa procedures for non-malignancy with cc/mcc
  • 743 Uterine and adnexa procedures for non-malignancy without cc/mcc
  • 760 Menstrual and other female reproductive system disorders with cc/mcc
  • 761 Menstrual and other female reproductive system disorders without cc/mcc

Convert R87.613 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to R87.613:
  • Type 1 Excludes: N87
    , D06
    ICD-10-CM Diagnosis Code N87

    Dysplasia of cervix uteri

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • abnormal results from cervical cytologic examination without histologic confirmation (R87.61-)
    • carcinoma in situ of cervix uteri (D06.-)
    • cervical intraepithelial neoplasia III [CIN III] (D06.-)
    • HGSIL of cervix (R87.613)
    • severe dysplasia of cervix uteri (D06.-)
    ICD-10-CM Diagnosis Code D06

    Carcinoma in situ of cervix uteri

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • cervical adenocarcinoma in situ
    • cervical intraepithelial glandular neoplasia
    • cervical intraepithelial neoplasia III [CIN III]
    • severe dysplasia of cervix uteri
    Type 1 Excludes
    • cervical intraepithelial neoplasia II [CIN II] (N87.1)
    • cytologic evidence of malignancy of cervix without histologic confirmation (R87.614)
    • high grade squamous intraepithelial lesion (HGSIL) of cervix (R87.613)
    • melanoma in situ of cervix (D03.5)
    • moderate cervical dysplasia (N87.1)

Diagnosis Index entries containing back-references to R87.613:
  • Abnormal, abnormality, abnormalities - see also Anomaly
    • Papanicolaou (smear)
      • cervix R87.619
        ICD-10-CM Diagnosis Code R87.619

        Unspecified abnormal cytological findings in specimens from cervix uteri

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
        Applicable To
        • Abnormal cervical cytology NOS
        • Abnormal Papanicolaou smear of cervix NOS
        • Abnormal thin preparation smear of cervix NOS
        • Atypical endocervial cells of cervix NOS
        • Atypical endometrial cells of cervix NOS
        • Atypical glandular cells of cervix NOS
        • high grade squamous intraepithelial lesion R87.613 (HGSIL)
  • HGSIL (cytology finding) (high grade squamous intraepithelial lesion on cytologic smear) (Pap smear finding)

ICD-10-CM Codes Adjacent To R87.613
R87.1 Abnormal level of hormones in specimens from female genital organs
R87.2 Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs
R87.3 Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs
R87.4 Abnormal immunological findings in specimens from female genital organs
R87.5 Abnormal microbiological findings in specimens from female genital organs
R87.6 Abnormal cytological findings in specimens from female genital organs
R87.61 Abnormal cytological findings in specimens from cervix uteri
R87.610 Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)
R87.611 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)
R87.612 Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)
R87.613 High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)
R87.614 Cytologic evidence of malignancy on smear of cervix
R87.615 Unsatisfactory cytologic smear of cervix
R87.616 Satisfactory cervical smear but lacking transformation zone
R87.618 Other abnormal cytological findings on specimens from cervix uteri
R87.619 Unspecified abnormal cytological findings in specimens from cervix uteri
R87.62 Abnormal cytological findings in specimens from vagina
R87.620 Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
R87.621 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
R87.622 Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)
R87.623 High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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