ICD-10-CM Code R87.628

Other abnormal cytological findings on specimens from vagina

Version 2021 Billable Code No Valid Principal Dx Diagnoses For Females Only OB/GYN

Valid for Submission

R87.628 is a billable code used to specify a medical diagnosis of other abnormal cytological findings on specimens from vagina. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code R87.628 might also be used to specify conditions or terms like abnormal vaginal papanicolaou smear or atypical glandular cells on vaginal papanicolaou smear or high vaginal swab: white cells seen or vaginal vault smear - atrophic or vaginal vault smear result - finding.

The code R87.628 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as abnormal female genital cytology.

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.

ICD-10:R87.628
Short Description:Other abnormal cytological findings on specimens from vagina
Long Description:Other abnormal cytological findings on specimens from vagina

Index to Diseases and Injuries

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 the code R87.628 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Synonyms

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

  • Abnormal vaginal Papanicolaou smear
  • Atypical glandular cells on vaginal Papanicolaou smear
  • High vaginal swab: white cells seen
  • Vaginal vault smear - atrophic
  • Vaginal vault smear result - finding

Diagnostic Related Groups

The ICD-10 code R87.628 is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert R87.628 to ICD-9

  • 795.10 - Abn gland pap smr vagina (Approximate Flag)
  • 795.19 - Oth abn Pap smr vag/HPV (Approximate Flag)

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 female genital organs (R87)

Code History

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