2024 ICD-10-CM Diagnosis Code R85.615

Unsatisfactory cytologic smear of anus

ICD-10-CM:: R85.615
Short Description:: Unsatisfactory cytologic smear of anus
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator [1]: Not chronic
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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)

R85.615 is a billable diagnosis code used to specify a medical diagnosis of unsatisfactory cytologic smear of anus. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

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.

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

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Inclusion Terms

Inadequate sample of cytologic smear of anus

Index to Diseases and Injuries References

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

- Abnormal, abnormality, abnormalities - See Also: Anomaly;
- - cytology
  - - anus - R85.619
    - - inadequate smear - R85.615
    - - unsatisfactory smear - R85.615
- - Papanicolaou (smear)
  - - anus - R85.619
    - - inadequate smear - R85.615
    - - unsatisfactory smear - R85.615

- Inadequate, inadequacy
- - sample of cytologic smear
  - - anus - R85.615

- Unsatisfactory
- - sample of cytologic smear
  - - anus - R85.615

Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
393	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	06	1.6196
394	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	06	0.9369
395	OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC	06	0.6475

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-CM Code

Source ICD-10-CM Code		Target ICD-9-CM Code
R85.615		796.78 - Anal cytolgy smr unsatis

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
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. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.