2026 ICD-10-CM Diagnosis Code R85.614Cytologic evidence of malignancy on smear of anus

ICD-10-CM Codes›R00–R99›R83-R89›R85

ICD-10-CM R85.614
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R85.614 is a billable ICD-10-CM diagnosis code for cytologic evidence of malignancy on smear of anus. 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
R85.614
Billable Status
Yes — Valid for Submission
Code Describes
Cytologic evidence of malignancy on smear of anus
Short Description
Cytologic evidence of malignancy on smear of anus
Same as the full description in the CMS dataset.
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 CodeR85.614Cytologic evidence of malignancy on smear of anus

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal anal Papanicolaou smear
  • Cytological evidence of malignancy on anal Papanicolaou smear
  • Detected by cytology
  • Malignant neoplasm detected by Papanicolaou smear of anus

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
          • cytologic evidence of malignancy
    • Abnormal, abnormality, abnormalities
      • Papanicolaou (smear)
        • anus
          • cytologic evidence of malignancy
    • Evidence
      • cytologic
        • of malignancy on anal smear

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 R85.614 to ICD-9-CMHistory

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

ICD-9-CM
796.76 Pap smr anus-cytol malig
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 R85.614Overview

Is R85.614 (Abnormal cytologic smear of anus) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report cytologic evidence of malignancy on smear of anus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R85.614 group to?

When cytologic evidence of malignancy on smear of anus 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 R85.614 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the cytologic evidence of malignancy on smear of anus is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R85.614?

Under the General Equivalence Mappings, cytologic evidence of malignancy on smear of anus converts to ICD-9-CM 796.76 (pap smr anus-cytol malig). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.