2026 ICD-10-CM Diagnosis Code R85.613High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)

ICD-10-CM Codes›R00–R99›R83-R89›R85

ICD-10-CM R85.613
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R85.613 is a billable ICD-10-CM diagnosis code for high grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL). It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as abnormal anal Papanicolaou smear. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Abnormal findings without diagnosis.

Code Identity

ICD-10-CM Code
R85.613
Billable Status
Yes — Valid for Submission
Code Describes
High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
Short Description
High grade intrepith lesion cyto smr anus (HGSIL)
Parent Code
R85.61
Abnormal cytologic smear of anus

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR83-R89Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis
CategoryR85Abnormal findings in specimens from digestive organs and abdominal cavity
This CodeR85.613High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

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

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Abnormal, abnormality, abnormalities
      • cytology
        • anus
          • high grade squamous intraepithelial lesion (HGSIL)
    • Abnormal, abnormality, abnormalities
      • Papanicolaou (smear)
        • anus
          • high grade squamous intraepithelial lesion (HGSIL)
    • HGSIL(cytology finding) (high grade squamous intraepithelial lesion on cytologic smear) (Pap smear finding)
      • anus

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM017
Abnormal findings without diagnosis
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert R85.613 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
796.74 Pap smear anus w HGSIL
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R85.613Overview

Is R85.613 (Abnormal cytologic smear of anus) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report high grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL) on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R85.613 group to?

When high grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL) is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R85.613 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the high grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL) is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R85.613?

Under the General Equivalence Mappings, high grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL) converts to ICD-9-CM 796.74 (pap smear anus w HGSIL). The mapping is a direct match.

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.