2027 ICD-10-CM Diagnosis Code R87.616Satisfactory cervical smear but lacking transformation zone
ICD-10-CM Codes›R00–R99›R83-R89›R87
- Billable — Valid for Submission
- Not Chronic
R87.616 is a billable ICD-10-CM diagnosis code for satisfactory cervical smear but lacking transformation zone. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 760 through 761. 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 satisfactory for evaluation but limited by absence of an endocervical/transformation zone component from a patient with a cervix. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Abnormal findings without diagnosis.
This medical diagnosis code is frequently used in OB/GYN medical specialties to designate conditions such abnormal female genital cytology.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Satisfactory for evaluation but limited by absence of an endocervical/transformation zone component from a patient with a cervix
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R87.616: its own notes plus those printed at R87.61, R87, block R83-R89, and Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- abnormal findings in secretion and smears from cervix uteri
- abnormal findings in secretion and smears from vagina
- abnormal findings in secretion and smears from vulva
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- abnormal cytological findings in specimens from other female genital organs (R87.69)
- abnormal cytological findings in specimens from vagina (R87.62-)
- carcinoma in situ of cervix uteri (histologically confirmed) (D06.-)
- cervical intraepithelial neoplasia I [CIN I] (N87.0)
- cervical intraepithelial neoplasia II [CIN II] (N87.1)
- cervical intraepithelial neoplasia III [CIN III] (D06.-)
- dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)
- severe dysplasia of cervix uteri (histologically confirmed) (D06.-)
- abnormal findings on antenatal screening of mother (O28.-)
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name R87.616, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming R87.616: they are not reported together with it, unless the two conditions are unrelated.
- N87 Dysplasia of cervix uteriabnormal results from cervical cytologic examination without histologic confirmation (R87.61-) names R87.61-, which includes this code
- R87.62 Abnormal cytological findings in specimens from vaginaabnormal cytological findings in specimens from cervix uteri (R87.61-) names R87.61-, which includes this code
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Cervical Cancer Screening
Cervical cancer is cancer that starts in the cells of the cervix. The cervix is part of the female reproductive system. It is the lower, narrow end of the uterus (womb), which opens into the vagina (birth canal). Cervical cancer screening is an important part of routine health care for people who have a cervix.
The full article covers:
- What is cervical cancer screening?
- What tests screen for cervical cancer?
- What are the possible benefits and harms of cervical cancer screening?
- Should I be screened for cervical cancer?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R87.616 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R87.616Overview
What is the ICD-10 code for satisfactory cervical smear but lacking transformation zone?
The ICD-10-CM code for satisfactory cervical smear but lacking transformation zone is R87.616 (sometimes written as R87616). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is R87.616 (Abnormal cytological findings in specimens from cervix uteri) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report satisfactory cervical smear but lacking transformation zone on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does R87.616 group to?
When satisfactory cervical smear but lacking transformation zone is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R87.616 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the satisfactory cervical smear but lacking transformation zone is established, that condition takes the principal position instead.
Can R87.616 be reported with R87.69?
Not as a rule. The Excludes1 note at R87.61, which applies to R87.616, lists "abnormal cytological findings in specimens from other female genital organs (R87.69)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).