DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R87 Abnormal findings in specimens from female genital organs

  • Header · not billable

R87 is not billable. The category heads 31 billable codes in FY2027, grouped under 10 subdivisions.

Index → code

  • Dyskaryotic cervical smear → R87.619
  • Papanicolaou smear, cervixnonspecific abnormal finding → R87.619
  • Findings, abnormal, inconclusive, without diagnosisPapanicolaou cervix → R87.619

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R83-R89 Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)
  3. R87 Abnormal findings in specimens from female genital organs
Billable codes
31
Subdivisions
10
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
80

Codes in R87

  1. R87.0
    Abnormal level of enzymes in specimens from female genital organs
    Billable
  2. R87.1
    Abnormal level of hormones in specimens from female genital organs
    Billable
  3. R87.2
    Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs
    Billable
  4. R87.3
    Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs
    Billable
  5. R87.4
    Abnormal immunological findings in specimens from female genital organs
    Billable
  6. R87.5
    Abnormal microbiological findings in specimens from female genital organs
    Billable
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Positive culture findings in specimens from female genital organs

    Excludes1

    • colonization status (Z22.-) Z22
  7. R87.6
    Abnormal cytological findings in specimens from female genital organs
    Header
  8. R87.61
    Abnormal cytological findings in specimens from cervix uteri
    Header
    Excludes1 8, Excludes2 2

    Excludes1

    • abnormal cytological findings in specimens from other female genital organs (R87.69) R87.69
    • abnormal cytological findings in specimens from vagina (R87.62-) R87.62
    • carcinoma in situ of cervix uteri (histologically confirmed) (D06.-) D06
    • cervical intraepithelial neoplasia I [CIN I] (N87.0) N87.0
    • cervical intraepithelial neoplasia II [CIN II] (N87.1) N87.1
    • cervical intraepithelial neoplasia III [CIN III] (D06.-) D06
    • dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-) N87
    • severe dysplasia of cervix uteri (histologically confirmed) (D06.-) D06

    Excludes2

    • cervical high risk human papillomavirus (HPV) DNA test positive (R87.810) R87.810
    • cervical low risk human papillomavirus (HPV) DNA test positive (R87.820) R87.820
  9. R87.610
    Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)
    Billable
  10. R87.611
    Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)
    Billable
  11. R87.612
    Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)
    Billable
  12. R87.613
    High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)
    Billable
  13. R87.614
    Cytologic evidence of malignancy on smear of cervix
    Billable
  14. R87.615
    Unsatisfactory cytologic smear of cervix
    Billable
    Inclusion terms 1

    Inclusion terms

    • Inadequate sample of cytologic smear of cervix
  15. R87.616
    Satisfactory cervical smear but lacking transformation zone
    Billable
  16. R87.618
    Other abnormal cytological findings on specimens from cervix uteri
    Billable
  17. R87.619
    Unspecified abnormal cytological findings in specimens from cervix uteri
    Billable
    Inclusion terms 6

    Inclusion terms

    • Abnormal cervical cytology NOS
    • Abnormal Papanicolaou smear of cervix NOS
    • Abnormal thin preparation smear of cervix NOS
    • Atypical endocervical cells of cervix NOS
    • Atypical endometrial cells of cervix NOS
    • Atypical glandular cells of cervix NOS
  18. R87.62
    Abnormal cytological findings in specimens from vagina
    Header
    Excludes1 8, Excludes2 2, Use additional code 1

    Excludes1

    • abnormal cytological findings in specimens from cervix uteri (R87.61-) R87.61
    • abnormal cytological findings in specimens from other female genital organs (R87.69) R87.69
    • carcinoma in situ of vagina (histologically confirmed) (D07.2) D07.2
    • vaginal intraepithelial neoplasia I [VAIN I] (N89.0) N89.0
    • vaginal intraepithelial neoplasia II [VAIN II] (N89.1) N89.1
    • vaginal intraepithelial neoplasia III [VAIN III] (D07.2) D07.2
    • dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-) N89
    • severe dysplasia of vagina (histologically confirmed) (D07.2) D07.2

    Excludes2

    • vaginal high risk human papillomavirus (HPV) DNA test positive (R87.811) R87.811
    • vaginal low risk human papillomavirus (HPV) DNA test positive (R87.821) R87.821

    Use additional code

    • code to identify acquired absence of uterus and cervix, if applicable (Z90.71-) Z90.71
  19. R87.620
    Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
    Billable
  20. R87.621
    Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
    Billable
  21. R87.622
    Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)
    Billable
  22. R87.623
    High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
    Billable
  23. R87.624
    Cytologic evidence of malignancy on smear of vagina
    Billable
  24. R87.625
    Unsatisfactory cytologic smear of vagina
    Billable
    Inclusion terms 1

    Inclusion terms

    • Inadequate sample of cytologic smear of vagina
  25. R87.628
    Other abnormal cytological findings on specimens from vagina
    Billable
  26. R87.629
    Unspecified abnormal cytological findings in specimens from vagina
    Billable
    Inclusion terms 6

    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
  27. R87.69
    Abnormal cytological findings in specimens from other female genital organs
    Billable
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Abnormal cytological findings in specimens from female genital organs NOS

    Excludes1

    • dysplasia of vulva (histologically confirmed) (N90.0-N90.3) N90.0 N90.3
  28. R87.7
    Abnormal histological findings in specimens from female genital organs
    Billable
    Excludes1 11

    Excludes1

    • carcinoma in situ (histologically confirmed) of female genital organs (D06-D07.3) D06 D07.3
    • cervical intraepithelial neoplasia I [CIN I] (N87.0) N87.0
    • cervical intraepithelial neoplasia II [CIN II] (N87.1) N87.1
    • cervical intraepithelial neoplasia III [CIN III] (D06.-) D06
    • dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-) N87
    • dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-) N89
    • vaginal intraepithelial neoplasia I [VAIN I] (N89.0) N89.0
    • vaginal intraepithelial neoplasia II [VAIN II] (N89.1) N89.1
    • vaginal intraepithelial neoplasia III [VAIN III] (D07.2) D07.2
    • severe dysplasia of cervix uteri (histologically confirmed) (D06.-) D06
    • severe dysplasia of vagina (histologically confirmed) (D07.2) D07.2
  29. R87.8
    Other abnormal findings in specimens from female genital organs
    Header
  30. R87.81
    High risk human papillomavirus (HPV) DNA test positive from female genital organs
    Header
    Excludes1 2

    Excludes1

    • anogenital warts due to human papillomavirus (HPV) (A63.0) A63.0
    • condyloma acuminatum (A63.0) A63.0
  31. R87.810
    Cervical high risk human papillomavirus (HPV) DNA test positive
    Billable
  32. R87.811
    Vaginal high risk human papillomavirus (HPV) DNA test positive
    Billable
  33. R87.82
    Low risk human papillomavirus (HPV) DNA test positive from female genital organs
    Header
    Use additional code 1

    Use additional code

    • code for associated human papillomavirus (B97.7) B97.7
  34. R87.820
    Cervical low risk human papillomavirus (HPV) DNA test positive
    Billable
  35. R87.821
    Vaginal low risk human papillomavirus (HPV) DNA test positive
    Billable
  36. R87.89
    Other abnormal findings in specimens from female genital organs
    Billable
    Inclusion terms 1

    Inclusion terms

    • Abnormal chromosomal findings in specimens from female genital organs
  37. R87.9
    Unspecified abnormal finding in specimens from female genital organs
    Billable

Sources of each column.

Instructions

At R87

Includes

  • 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

Notes that also apply

Block R83-R89 instructions (Excludes1 2, Excludes2 3): printed on the block page.

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Dyskaryotic cervical smear → R87.619
  • ASC-US (atypical squamous cells of undetermined significance on cytologic smear)cervix → R87.610
  • ASC-H (atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear)cervix → R87.611
  • LGSIL (Low grade squamous intraepithelial lesion on cytologic smear of)cervix → R87.612
  • HGSIL (cytology finding) (high grade squamous intraepithelial lesion on cytologic smear) (Pap smear finding)cervix → R87.613
  • Findings, abnormal, inconclusive, without diagnosisPapanicolaou cervix → R87.619
  • Papanicolaou smear, cervixnonspecific abnormal finding → R87.619
  • ASC-US (atypical squamous cells of undetermined significance on cytologic smear)vagina → R87.620
  • ASC-H (atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear)vagina → R87.621
  • LGSIL (Low grade squamous intraepithelial lesion on cytologic smear of)vagina → R87.622
  • HGSIL (cytology finding) (high grade squamous intraepithelial lesion on cytologic smear) (Pap smear finding)vagina → R87.623
  • Positiveculture (nonspecific)cervix uteri → R87.5
  • Positiveculture (nonspecific)vagina → R87.5
  • Positiveculture (nonspecific)vulva → R87.5
  • Evidencecytologicof malignancy on cervical smear → R87.614
  • Inadequate, inadequacysample of cytologic smearcervix → R87.615
  • Unsatisfactorysample of cytologic smearcervix → R87.615
  • Findings, abnormal, inconclusive, without diagnosisPapanicolaou cervixnon-atypical endometrial cells → R87.618
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)cervix → R87.619
  • Atypical, atypismcells (on cytolgocial smear) (endocervical) (endometrial) (glandular)cervix → R87.619
  • Evidencecytologicof malignancy on vaginal smear → R87.624
  • Inadequate, inadequacysample of cytologic smearvagina → R87.625
  • Unsatisfactorysample of cytologic smearvagina → R87.625
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)vagina → R87.629
  • Abnormal, abnormality, abnormalitiesspecimenvagina (secretion) (smear) → R87.629
  • Atypical, atypismcells (on cytolgocial smear) (endocervical) (endometrial) (glandular)vagina → R87.629
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)vulva → R87.69
  • Abnormal, abnormality, abnormalitiesspecimenvulva (secretion) (smear) → R87.69
  • Abnormal, abnormality, abnormalitiesspecimenfemale genital organs (secretions) (smears) → R87.9
  • Abnormal, abnormality, abnormalitiesspecimenfemale genital organs (secretions) (smears)enzyme level → R87.0
  • Abnormal, abnormality, abnormalitiesspecimenfemale genital organs (secretions) (smears)hormones → R87.1
  • Abnormal, abnormality, abnormalitiesspecimenfemale genital organs (secretions) (smears)drug level → R87.2
  • Abnormal, abnormality, abnormalitiesspecimenfemale genital organs (secretions) (smears)nonmedicinal level → R87.3
  • Abnormal, abnormality, abnormalitiesspecimenfemale genital organs (secretions) (smears)immunology → R87.4
  • Abnormal, abnormality, abnormalitiesspecimenfemale genital organs (secretions) (smears)microbiology → R87.5
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)cervixatypical squamous cells of undetermined significance (ASC-US) → R87.610
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)cervixatypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H) → R87.611
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)cervixlow grade squamous intraepithelial lesion (LGSIL) → R87.612
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)cervixhigh grade squamous intraepithelial lesion (HGSIL) → R87.613
  • Abnormal, abnormality, abnormalitiesPapanicolaou (smear)cervixcytologic evidence of malignancy → R87.614

40 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

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