2026 ICD-10-CM Diagnosis Code R87.629Unspecified abnormal cytological findings in specimens from vagina

ICD-10-CM CodesR00–R99R83-R89R87

ICD-10-CM R87.629
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R87.629 is a billable ICD-10-CM diagnosis code for unspecified abnormal cytological findings in specimens from vagina. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 947 through 948. 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 vaginal Papanicolaou smear. 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

ICD-10-CM Code
R87.629
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified abnormal cytological findings in specimens from vagina
Short Description
Unsp abnormal cytological findings in specimens from vagina
Parent Code
Abnormal cytological findings in specimens from vagina

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
CategoryR87Abnormal findings in specimens from female genital organs
This CodeR87.629Unspecified abnormal cytological findings in specimens from vagina

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal vaginal Papanicolaou smear
  • Atypical endocervical cells on vaginal Papanicolaou smear
  • Vaginal vault smear abnormal

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Abnormal Papanicolaou smear of vagina NOS
  • Abnormal thin preparation smear of vagina NOS
  • Abnormal vaginal cytology NOS
  • Atypical endocervical cells of vagina NOS
  • Atypical endometrial cells of vagina NOS
  • Atypical glandular cells of vagina NOS

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
      • Papanicolaou (smear)
        • vagina
    • Abnormal, abnormality, abnormalities
      • Papanicolaou (smear)
        • vagina
          • thin preparation
    • Abnormal, abnormality, abnormalities
      • specimen
        • female genital organs (secretions) (smears)
          • cytology
            • vagina
    • Abnormal, abnormality, abnormalities
      • specimen
        • vagina (secretion) (smear)
    • Atypical, atypism
      • cells (on cytolgocial smear) (endocervical) (endometrial) (glandular)
        • vagina

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 R87.629 to ICD-9-CMHistory

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

ICD-9-CM
795.4 Abn histologic find NEC
Approximate The match is approximate rather than exact.

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 R87.629Overview

Is R87.629 (Abnormal cytological findings in specimens from vagina) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified abnormal cytological findings in specimens from vagina on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R87.629 group to?

When unspecified abnormal cytological findings in specimens from vagina is the principal diagnosis on an inpatient stay, it groups to MS-DRG 947, 948, with relative weights from 0.8005 to 1.2694 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R87.629 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the unspecified abnormal cytological findings in specimens from vagina is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R87.629?

Under the General Equivalence Mappings, unspecified abnormal cytological findings in specimens from vagina converts to ICD-9-CM 795.4 (abn histologic find NEC). The mapping is approximate, so confirm the match fits the documentation.

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.