R87.623
BillableHigh grade intrepith lesion cyto smr vagn (HGSIL)
High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
Coding Notes
Includes
Conditions included under this code
- 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
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
- abnormal findings on antenatal screening of mother (O28.-)
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
- abnormal cytological findings in specimens from cervix uteri (R87.61-)
- abnormal cytological findings in specimens from other female genital organs (R87.69)
- carcinoma in situ of vagina (histologically confirmed) (D07.2)
- vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
- vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
- vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
- dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
- severe dysplasia of vagina (histologically confirmed) (D07.2)
Excludes 2
Conditions not included here, but the patient may have both
- abnormal findings on antenatal screening of mother (O28.-)
- certain conditions originating in the perinatal period (P04-P96)
- signs and symptoms classified in the body system chapters
- signs and symptoms of breast (N63, N64.5)
- abnormal findings on examination of blood, without diagnosis (R70-R79)
- abnormal findings on examination of urine, without diagnosis (R80-R82)
- abnormal tumor markers (R97.-)
- vaginal high risk human papillomavirus (HPV) DNA test positive (R87.811)
- vaginal low risk human papillomavirus (HPV) DNA test positive (R87.821)
Use Additional Code
Additional codes that should follow this code
- code to identify acquired absence of uterus and cervix, if applicable (Z90.71-)
Also Known As / Clinical Terms
SNOMED CT
- Cervicovaginal cytology: HGSIL or carcinoma416033009
- Cervicovaginal cytology: HSIL or carcinoma416033009
- Cervicovaginal cytology: High grade squamous intraepithelial lesion or carcinoma416033009
- Abnormal vaginal Papanicolaou smear439856008
- High grade squamous intraepithelial lesion on vaginal Papanicolaou smear126341000119108
Frequently Asked Questions
What is ICD-10 code R87.623?
ICD-10-CM code R87.623 represents "High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)". It is a billable/specific code that can be used on a claim.
Is R87.623 a billable code?
Yes, R87.623 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.
What chapter is R87.623 in?
R87.623 is in Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (codes R00-R99).
What codes cannot be used with R87.623?
R87.623 has Excludes1 notes indicating codes that cannot be used together with it, including: abnormal findings on antenatal screening of mother (O28.-); diagnostic abnormal findings classified elsewhere - see Alphabetical Index; abnormal cytological findings in specimens from cervix uteri (R87.61-); and 7 more.
Are additional codes required with R87.623?
Yes, when using R87.623 you should also code: code to identify acquired absence of uterus and cervix, if applicable (Z90.71-).
What SNOMED CT codes does R87.623 map to?
R87.623 maps to 3 SNOMED CT concepts: 439856008, 416033009, 126341000119108. SNOMED CT is a clinical terminology used in electronic health records.
What are the UMLS CUIs for R87.623?
R87.623 is linked to 1 UMLS Concept Unique Identifier: C2830552. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.