R87.629

Unspecified abnormal cytological findings in specimens from vagina

Billable / specific

R87.629 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • 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

Includes (from R87)

  • 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
  • Note: 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.
  • Note: 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.
  • Note: The conditions and signs or symptoms included in categories R00-R94 consist of:
  • Note: (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
  • Note: (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
  • Note: (c) provisional diagnosis in a patient who failed to return for further investigation or care;
  • Note: (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
  • Note: (e) cases in which a more precise diagnosis was not available for any other reason;
  • Note: (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excludes1

Not coded here — never report together with this code.

  • abnormal cytological findings in specimens from cervix uteri (R87.61-) (from R87.62)
  • abnormal cytological findings in specimens from other female genital organs (R87.69) (from R87.62)
  • carcinoma in situ of vagina (histologically confirmed) (D07.2) (from R87.62)
  • vaginal intraepithelial neoplasia I [VAIN I] (N89.0) (from R87.62)
  • vaginal intraepithelial neoplasia II [VAIN II] (N89.1) (from R87.62)
  • vaginal intraepithelial neoplasia III [VAIN III] (D07.2) (from R87.62)
  • dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-) (from R87.62)
  • severe dysplasia of vagina (histologically confirmed) (D07.2) (from R87.62)
  • abnormal findings on antenatal screening of mother (O28.-) (from R87)
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index (from R87)

Excludes2

Not included here — may be reported together when both conditions exist.

  • vaginal high risk human papillomavirus (HPV) DNA test positive (R87.811) (from R87.62)
  • vaginal low risk human papillomavirus (HPV) DNA test positive (R87.821) (from R87.62)
  • abnormal findings on antenatal screening of mother (O28.-) (from R87)
  • certain conditions originating in the perinatal period (P04-P96) (from R87)
  • signs and symptoms classified in the body system chapters (from R87)
  • signs and symptoms of breast (N63, N64.5) (from R87)
  • abnormal findings on examination of blood, without diagnosis (R70-R79) (from R87)
  • abnormal findings on examination of urine, without diagnosis (R80-R82) (from R87)
  • abnormal tumor markers (R97.-) (from R87)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify acquired absence of uterus and cervix, if applicable (Z90.71-) (from R87.62)

Also known as

  • 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
  • Abnormal, abnormality, abnormalities, Papanicolaou, vagina
  • Abnormal, abnormality, abnormalities, Papanicolaou, vagina, thin preparation
  • Abnormal, abnormality, abnormalities, specimen, vagina
  • Atypical, atypism, cells, vagina

Parent code

  • R87.62Abnormal cytological findings in specimens from vaginaHeader

Related codes

  • R87.620Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)Billable
  • R87.621Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)Billable
  • R87.622Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)Billable
  • R87.623High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)Billable
  • R87.624Cytologic evidence of malignancy on smear of vaginaBillable
  • R87.625Unsatisfactory cytologic smear of vaginaBillable
  • R87.628Other abnormal cytological findings on specimens from vaginaBillable

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