R85.613 - High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)

Version 2023

No Valid Principal Dx

ICD-10:	R85.613
Short Description:	High grade intrepith lesion cyto smr anus (HGSIL)
Long Description:	High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
Status:	Valid for Submission
Version:	ICD-10-CM 2023
Code Classification:	Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99) Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89) Abnormal findings in specimens from dgstv org/abd cav (R85)

1. Approximate Synonyms
2. Tabular List of Diseases and Injuries
3. Index to Diseases and Injuries References
4. Diagnostic Related Groups - MS-DRG Mapping
5. Convert to ICD-9 Code
6. Patient Education
7. Related Codes Browser
8. Code History

R85.613 is a billable ICD-10 code used to specify a medical diagnosis of high grade squamous intraepithelial lesion on cytologic smear of anus (hgsil). The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Abnormal anal Papanicolaou smear
High grade squamous intraepithelial lesion on anal Papanicolaou smear

Index to Diseases and Injuries References

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:

- Abnormal, abnormality, abnormalities - See Also: Anomaly;
- - cytology
  - - anus - R85.619
    - - high grade squamous intraepithelial lesion (HGSIL) - R85.613
- - Papanicolaou (smear)
  - - anus - R85.619
    - - high grade squamous intraepithelial lesion (HGSIL) - R85.613

- HGSIL (cytology finding) (high grade squamous intraepithelial lesion on cytologic smear) (Pap smear finding)
- - anus - R85.613

Diagnostic Related Groups - MS-DRG Mapping

The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	06	1.6113
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	06	0.943
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	06	0.6449

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert to ICD-9 Code

Source ICD-10 Code		Target ICD-9 Code
R85.613		796.74 - Pap smear anus w HGSIL

Related Codes Browser

ICD Code	Description	Valid for Submission
R85	Abnormal findings in specimens from digestive organs and abdominal cavity	NON-BILLABLE CODE
R85.0	Abnormal level of enzymes in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.1	Abnormal level of hormones in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.2	Abnormal level of other drugs, medicaments and biological substances in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.3	Abnormal level of substances chiefly nonmedicinal as to source in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.4	Abnormal immunological findings in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.5	Abnormal microbiological findings in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.6	Abnormal cytological findings in specimens from digestive organs and abdominal cavity	NON-BILLABLE CODE
R85.61	Abnormal cytologic smear of anus	NON-BILLABLE CODE
R85.610	Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)	BILLABLE CODE
R85.611	Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)	BILLABLE CODE
R85.612	Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)	BILLABLE CODE
R85.614	Cytologic evidence of malignancy on smear of anus	BILLABLE CODE
R85.615	Unsatisfactory cytologic smear of anus	BILLABLE CODE
R85.616	Satisfactory anal smear but lacking transformation zone	BILLABLE CODE
R85.618	Other abnormal cytological findings on specimens from anus	BILLABLE CODE
R85.619	Unspecified abnormal cytological findings in specimens from anus	BILLABLE CODE
R85.69	Abnormal cytological findings in specimens from other digestive organs and abdominal cavity	BILLABLE CODE
R85.7	Abnormal histological findings in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.8	Other abnormal findings in specimens from digestive organs and abdominal cavity	NON-BILLABLE CODE
R85.81	Anal high risk human papillomavirus (HPV) DNA test positive	BILLABLE CODE
R85.82	Anal low risk human papillomavirus (HPV) DNA test positive	BILLABLE CODE
R85.89	Other abnormal findings in specimens from digestive organs and abdominal cavity	BILLABLE CODE
R85.9	Unspecified abnormal finding in specimens from digestive organs and abdominal cavity	BILLABLE CODE

Code History

FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)

Previous Code: R85.612

Parent Code: R85.61

Next Code: R85.614

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